Individual
SUZANNE FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3 SOMERSET LN, EDGEWATER, NJ 07020-2419
(201) 248-7200
Mailing address
3 SOMERSET LN, EDGEWATER, NJ 07020-2419
(201) 248-7200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06316800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020592109
E.I.N.
NJ
Enumeration date
03/29/2019
Last updated
06/11/2019
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