Most Relevant Information
Provider Data
| NPI Number: | 1003597857 |
| Provider Name: | SUSAN MUGALU ANP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ14847600 |
Most Important Dates
| Enumeration Date: | 07/25/2023 |
| Last Updated: | 07/25/2023 |
Provider Practice Location
703 MAIN ST
PATERSON
NJ
075032621
Practice Location Phone/Fax
| Phone: | 9737540000 |
| Fax: |
Provider Mailing Location
7 GATES PL
WAYNE
NJ
074703217
Provider Mailing Phone/Fax
| Phone: | 9738835889 |
| Fax: |