Individual
SUSAN KADLEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MYRTLE AVE, PLAINFIELD, NJ 07063-1000
(908) 753-6401
Mailing address
1700 MYRTLE AVE, PLAINFIELD, NJ 07063-1000
(908) 753-6401
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00031900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25ME00031900
CNM LIC
NJ
01
—
25ME00031901
CNM W/PRESCRIPTIVE AUTH
NJ
Enumeration date
08/10/2006
Last updated
03/07/2013
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