Individual
SUSAN M KIRSCHENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 ALPS RD, WAYNE, NJ 07470-3635
(973) 628-8500
(973) 628-7944
Mailing address
212 ELM AVE, TEANECK, NJ 07666-2316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00087300
NJ
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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