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Individual

SUZANNE W VANDERWERKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
75 W RED BANK AVE, WOODBURY, NJ 08096-1694
(856) 853-2055
(856) 848-2879
Mailing address
75 W RED BANK AVE, WOODBURY, NJ 08096-1694
(856) 853-2055
(856) 848-2879

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA52279
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4977807
NJ
Enumeration date
11/29/2005
Last updated
02/07/2013
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