Individual
MR. JON BENNETT SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, MSN, BSN
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(212) 216-6436
Mailing address
1 DIAMOND HILL RD, SUITE 725, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00175500
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00175500
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00175500
NJ
Other
Enumeration date
02/01/2012
Last updated
05/11/2017
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