Individual
SUZAN L. FALTAS-FOUAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 PENNINGTON AVE, PASSAIC, NJ 07055-4617
(973) 470-3000
Mailing address
211 PENNINGTON AVE, PASSAIC, NJ 07055-4617
(973) 470-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04600000
NJ
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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