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Individual

SUSSKY LATINA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CERTIFIED PHLEBOTOMI

Contact information

Practice address
415 UNION AVE, RUTHERFORD, NJ 07070-1416
(201) 935-6556
Mailing address
415 UNION AVE, RUTHERFORD, NJ 07070-1416
(201) 935-6556

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
NJ
374700000X
Technician
Primary

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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