Individual
SUSAN L GRAZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 NORMAL AVE, MSU HEALTH CENTER BLANTON HALL, MONTCLAIR, NJ 07043-1624
(973) 655-4299
(973) 655-4159
Mailing address
29 W ELIZABETH DR, RANDOLPH, NJ 07869-1306
(973) 328-7480
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00053100
NJ
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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