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Individual

SUSAN G MERRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
90 BERGEN ST STE 1200, NEWARK, NJ 07103-2425
(973) 972-2153
(973) 972-9367
Mailing address
90 BERGEN ST STE 1200, NEWARK, NJ 07103-2425
(973) 972-2153
(973) 972-9367

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00003300
NJ

Other

Enumeration date
08/14/2012
Last updated
08/14/2012
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