Most Relevant Information
Provider Data
NPI Number: | 1003021700 |
Provider Name: | SUSAN MADELEINE GUERRA FNP |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 26NJ00174000 |
Most Important Dates
Enumeration Date: | 05/14/2007 |
Last Updated: | 09/26/2018 |
Provider Practice Location
2106 NEW RD
SUITE D4
LINWOOD
NJ
082211046
Practice Location Phone/Fax
Phone: | 6099268899 |
Fax: |
Provider Mailing Location
2099 NEW ALBANY RD
CINNAMINSON
NJ
080773534
Provider Mailing Phone/Fax
Phone: | 6099268899 |
Fax: | 8567721997 |