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1336163716
SUSAN FEDORUK
BRICK, NJ
NPI
1336163716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NO07839100)
Enumeration Date
2006-07-27
Last Update Date
2017-10-23
Business Address
Ms. SUSAN FEDORUK APN
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-836-4504
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Mailing Address
Ms. SUSAN FEDORUK APN
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-836-4504
Copy
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