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Individual

SUSAN GRAGEN FINGERHUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2250 CHAPEL AVE W STE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Mailing address
2250 CHAPEL AVE W STE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NC03091200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0345539
NJ
01
463022A0Y
MEDICARE
NJ
Enumeration date
04/10/2007
Last updated
02/06/2018
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