Individual
SUSAN F TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA03289400
NJ
208000000X
Pediatrics Physician
MD014051E
PA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
25MA03289400
NJ
2080P0207X
Pediatric Hematology & Oncology Physician
MD014051E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0527203
—
NJ
Enumeration date
08/07/2006
Last updated
09/11/2025
Update your record
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