Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00464800 | NJ |
NPI | 1013343201 |
---|---|
Provider Name | Suzette S Catong |
First Address | Howell, NJ 07731-2935 |
Second Address | Red Bank, NJ 07701-1864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2013 |
Last Update Date | 17/03/2018 |