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Organization

SUSAN HAGEN MORRISON, M.D., PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN HAGEN MORRISON M.D. (PRESIDENT)
(973) 450-0100
Entity
Organization

Contact information

Practice address
77 NEWARK AVE STE 4, BELLEVILLE, NJ 07109-4154
(973) 450-0100
(973) 450-8088
Mailing address
77 NEWARK AVE STE 4, BELLEVILLE, NJ 07109-4154
(973) 450-0100
(973) 450-8088

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA04095600
NJ
2080P0208X
Pediatric Infectious Diseases Physician
25MA04095600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2091607
NJ
Enumeration date
03/24/2010
Last updated
06/25/2021
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