Organization
SUBURBAN FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RAE MD (PRESIDENT)
(973) 812-9091
Entity
Organization
Contact information
Practice address
1031 MCBRIDE AVE, SUITE D 210, WOODLAND PARK, NJ 07424-2559
(973) 812-9091
(973) 339-9040
Mailing address
40 MICHELLE WAY, PINE BROOK, NJ 07058-9446
(973) 812-9091
(973) 339-9040
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA06609700
NJ
Other
Enumeration date
11/29/2013
Last updated
11/29/2013
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