Individual
SUSAN B CONLEY
Active
Individual
SUSAN B CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
25MA07963200
NJ
2080P0210X
Pediatric Nephrology Physician
Primary
MD063184L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016642200003
—
PA
01
—
2748937000
AMERIHEALTH KEYSTONE
—
01
—
60025871
HORIZON NJ HEALTH
NJ
05
—
7527608
—
NJ
Enumeration date
07/19/2006
Last updated
06/18/2008
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