Individual
SUSAN M MIDILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7665 MAPLE AVE, PENNSAUKEN, NJ 08109-3328
(856) 665-9520
(856) 665-6684
Mailing address
7665 MAPLE AVE, PENNSAUKEN, NJ 08109-3328
(856) 665-9520
(856) 665-6684
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN104570
NJ
Other
Enumeration date
06/07/2006
Last updated
12/05/2016
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