SUSAN FEDORUK

BRICK, NJ
NPI1336163716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NO07839100)
Enumeration Date2006-07-27
Last Update Date2017-10-23
Business Address
MS. SUSAN FEDORUK APN
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-836-4504
Mailing Address
MS. SUSAN FEDORUK APN
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-836-4504
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