Individual
SUSAN POLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 CRAIG RD STE 205A, MANALAPAN, NJ 07726-8731
(732) 866-9922
Mailing address
31 CRUSIUS PL, COLTS NECK, NJ 07722-1630
(732) 462-8924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ300077400
NJ
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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