Individual
MRS. SUSAN M RAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,APN,C
Contact information
Practice address
20 WASHINGTON PL, NEWARK, NJ 07102-3127
(973) 645-3042
(973) 622-4813
Mailing address
40 HUNTER RD S, NORTH HALEDON, NJ 07508-3300
(973) 636-9189
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN04882200
NJ
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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