Individual
DR. SUSAN SHOSHANA NYQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 EGG HARBOR RD, SUITE 300, SEWELL, NJ 08080-9406
(856) 290-4548
(856) 290-4552
Mailing address
123 EGG HARBOR RD, SUITE 300, SEWELL, NJ 08080-9406
(856) 290-4548
(856) 290-4552
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA09223200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327409
—
NJ
01
—
3893303000
AMERIHEALTH
NJ
Enumeration date
12/16/2008
Last updated
04/25/2013
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