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NPI Code Detail

MEDICARE: MISS FAWCETT SIEW SUIT LEE APN

MEDICARE:  MISS FAWCETT SIEW SUIT LEE  APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26NJ00479600NJ

General Provider Information

NPI Number : 1083045488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS FAWCETT SIEW SUIT LEE APN
Provider Business Mailing Address
First Line : 32 BUSH PKWY
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-2207
Country : US
Telephone Number : 848-391-1811
Fax Number :
Provider Business Practice Location Address
First Line : 9 DUTCHTOWN HARLINGEN RD
Second Line :
City : BELLE MEAD
State : NJ
Zip : 08502-5115
Country : US
Telephone Number : 908-874-8883
Fax Number : 908-874-3595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2013
Last Update Date : 12/10/2013

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Directions to “ MISS FAWCETT SIEW SUIT LEE APN” Practice Location

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