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NPI Code Detail

MEDICARE: SUSAN KORB PNP

MEDICARE:   SUSAN  KORB  PNP
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
1363LP0200XPediatric Nurse Practitioner26NN10873200NJ

General Provider Information

NPI Number : 1225215619
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN KORB PNP
Provider Business Mailing Address
First Line : 76 STIRLING RD STE 201
Second Line :
City : WARREN
State : NJ
Zip : 07059-5778
Country : US
Telephone Number : 908-755-5437
Fax Number : 908-755-6905
Provider Business Practice Location Address
First Line : 76 STIRLING RD
Second Line : SUITE 201
City : WARREN
State : NJ
Zip : 07059-5778
Country : US
Telephone Number : 908-755-5437
Fax Number : 908-755-6905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 06/10/2026

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Directions to “ SUSAN KORB PNP” Practice Location

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