Individual
SUSANNAH KATE PITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.
Contact information
Practice address
1000 MAIN ST, BOONTON, NJ 07005-1414
(973) 257-8924
Mailing address
1000 MAIN ST, BOONTON, NJ 07005-1414
(973) 257-8924
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00052700
NJ
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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