Individual
MISS SUSAN MACMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MILLBROOK DR, MIDDLETOWN, NJ 07748-2214
(732) 996-8819
Mailing address
35 MILLBROOK DR, MIDDLETOWN, NJ 07748-2214
(732) 996-8819
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
26NR15920800
NJ
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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