Healthcare Provider Details

I. General information

NPI: 1235378027
Provider Name (Legal Business Name): SUZANA EMIL ANWER MORGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SOUSANNA EMIL ANWER MD

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 11/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C1 CORNWALL DR
EAST BRUNSWICK NJ
08816-3362
US

IV. Provider business mailing address

C1 CORNWALL DR
EAST BRUNSWICK NJ
08816-3362
US

V. Phone/Fax

Practice location:
  • Phone: 732-613-5005
  • Fax: 732-613-5004
Mailing address:
  • Phone: 732-613-5005
  • Fax: 732-613-5004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA0853400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number25MA08534000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: