Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 40QA04036 | NJ |
NPI | 1912168055 |
---|---|
Provider Name | Mrs. Susan M. Freeman |
First Address | Robbinsville, NJ 08691-3635 |
Second Address | Burlington, NJ 08016-4157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 20/06/2008 |