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Individual

RONALD M SUAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
276 E MAIN ST, DENVILLE, NJ 07834-2646
(973) 664-2391
Mailing address
276 E MAIN ST, DENVILLE, NJ 07834-2646
(973) 664-2391

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR19437900
NJ
163WG0000X
General Practice Registered Nurse
721329
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ01207400
NJ

Other

Enumeration date
09/24/2021
Last updated
03/08/2022
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