Individual
MRS. SUZAN B INCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, RN
Contact information
Practice address
95 MAIN AVE STE 274, CLIFTON, NJ 07014-1748
(973) 557-0030
Mailing address
748 NEW YORK AVE, LYNDHURST, NJ 07071-1623
(973) 557-0030
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01087600
NJ
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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