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Individual

SUSAN K GRUDZINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APN

Contact information

Practice address
390 N BROADWAY, CONCORDE PROFESSIONAL BUILDING, SUITE 100, PENNSVILLE, NJ 08070-1253
(856) 678-6411
Mailing address
390 N BROADWAY, CONCORDE PROFESSIONAL BUILDING, SUITE 100, PENNSVILLE, NJ 08070-1253
(856) 678-6411

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN 60743
NJ

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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