Individual
DR. SUZANNE C LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, IMUS 348, HACKENSACK, NJ 07601-1914
(551) 996-5306
(201) 996-9815
Mailing address
30 PROSPECT AVE, IMUS 348, HACKENSACK, NJ 07601-1914
(551) 996-5306
(201) 996-9815
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
25MA067968
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA067968
NJ STATE MEDICAL LICENSE
NJ
Enumeration date
05/22/2006
Last updated
05/05/2017
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