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1194759175
SUSAN B PROFETA
SUMMIT, NJ
NPI
1194759175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA04377900)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
-- SUSAN B PROFETA M.D.
33 OVERLOOK RD SUITE 306
SUMMIT, NJ 07901-3570
Phone number: 908-598-0606
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Mailing Address
-- SUSAN B PROFETA M.D.
1 HICKORY DR
MAPLEWOOD, NJ 07040-2107
Phone number: 973-762-0905
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