Individual
DR. SUSAN TERRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 COLEMAN PL, RED BANK, NJ 07701-6151
(732) 219-0944
(732) 219-0944
Mailing address
25 COLEMAN PL, RED BANK, NJ 07701-6151
(732) 219-0944
(732) 219-0944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04892500
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04892500
NJ
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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