Individual
SUSAN VANATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 575-4371
Mailing address
5 WILLOW LN, PILESGROVE, NJ 08098-2426
(609) 412-5981
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26NR09363800
NJ
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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