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NPI Code Detail

MEDICARE: SUSAN MARY FUIR APN-C

MEDICARE: SUSAN MARY FUIR APN-C
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 Practitioner26NJ00075300NJ

General Provider Information

NPI Number : 1336149269
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MARY FUIR APN-C
Provider Business Mailing Address
First Line : 406 IVYSTONE LN
Second Line :
City : CINNAMINSON
State : NJ
Zip : 08077-4220
Country : US
Telephone Number : 856-829-3532
Fax Number : 856-303-0809
Provider Business Practice Location Address
First Line : 640 WHITE HORSE PIKE
Second Line :
City : HAMMONTON
State : NJ
Zip : 08037-9602
Country : US
Telephone Number : 609-567-9003
Fax Number : 609-567-9269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 07/08/2007

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Directions to “ SUSAN MARY FUIR APN-C” Practice Location

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