Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | TP003112N | PA |
NPI | 1396911061 |
---|---|
Provider Name | Ms. Suzanne Elizabeth Chopra |
First Address | Allendale, NJ 07401-2015 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2008 |
Last Update Date | 11/01/2022 |