Individual
DR. SUSAN ELIZABETH DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 NEPTUNE BLVD, NEPTUNE, NJ 07753-4433
(732) 774-4040
(732) 774-2143
Mailing address
230 NEPTUNE BLVD, NEPTUNE, NJ 07753-4433
(732) 774-4040
(732) 774-2143
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA45379
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3298302
—
NJ
Enumeration date
01/26/2006
Last updated
06/18/2015
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