Individual
SUSAN DULCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 SECOND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-7706
(732) 923-7451
Mailing address
300 SECOND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-7706
(732) 923-7451
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00079200
NJ
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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