SUSAN WIEDASECK

NEWARK, NJ
NPI1720049406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: NJ  25ME00013401)
Enumeration Date2006-03-31
Last Update Date2007-07-08
Business Address
-- SUSAN WIEDASECK CNM
201 LYONS AVE
NEWARK, NJ 07107
Phone number: 973-972-4249
Mailing Address
-- SUSAN WIEDASECK CNM
PO BOX 640
BELLEVILLE, NJ 07109
Phone number: 973-759-8700
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