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Individual

MS. SUSAN E BASEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APN

Contact information

Practice address
3 COOPER PLZ, SUITE 215, CAMDEN, NJ 08103-1438
(856) 342-2445
(856) 964-0504
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8366

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NJ000125
NJ
363L00000X
Nurse Practitioner
NR066509
NJ
363L00000X
Nurse Practitioner
RN235726L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0116262
NJ
Enumeration date
10/10/2006
Last updated
10/24/2008
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