Individual
DR. MARYAM M SULUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
215 SUNSET RD, STE 308, WILLINGBORO, NJ 08046-1108
(609) 835-4043
(609) 835-1576
Mailing address
215 SUNSET RD, STE 308, WILLINGBORO, NJ 08046-1108
(609) 835-4043
(609) 835-1576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NJ 12663
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51680
ID UNITED CONCORDIA
NJ
Enumeration date
10/12/2006
Last updated
07/08/2007
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