Organization
SBARRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BARRY (RN)
(856) 719-8851
Entity
Organization
Contact information
Practice address
5 MAURIELLO DR, WATERFORD WORKS, NJ 08089-2411
(856) 719-8851
Mailing address
5 MAURIELLO DR, WATERFORD WORKS, NJ 08089-2411
(856) 719-8851
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
26NR09547900
NJ
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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