Individual
DR. SUSANNA BOMFIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 MORRIS TPKE, SHORT HILLS, NJ 07078-2698
(908) 273-4300
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(973) 577-5825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11136600
NJ
Other
Enumeration date
05/27/2019
Last updated
08/10/2022
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