Individual
MRS. SUSAN MATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(908) 720-5482
Mailing address
13 DEVON DR, PISCATAWAY, NJ 08854-5215
(908) 720-5482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01094600
NJ
Other
Enumeration date
01/14/2021
Last updated
02/10/2021
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