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Individual

SUSAN OMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
62 BROADWAY STE 104-105, WOODCLIFF LAKE, NJ 07677-8081
(201) 800-4772
(732) 455-9863
Mailing address
227 HAMBURG TPKE STE 8, POMPTON LAKES, NJ 07442-1847
(201) 492-4987
(201) 326-5121

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00771000
NJ

Other

Enumeration date
10/20/2017
Last updated
05/02/2026
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