Individual
SUSAN BERSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
137 GROVE ST APT 2, BAY HEAD, NJ 08742-5027
(201) 543-1515
Mailing address
1355 CAMPUS PKWY, SUITE 103, WALL, NJ 07719-6840
(732) 202-8071
(732) 922-6026
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00482600
NJ
Other
Enumeration date
09/14/2015
Last updated
12/01/2015
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