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1821212689
SUSAN IMAM
NEWARK, DE
NPI
1821212689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: DE LM-0000105)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- SUSAN IMAM
OGLETOWN- STANTON RD
NEWARK, DE 19718-0001
Phone number: 302-733-2961
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Mailing Address
-- SUSAN IMAM
151 SCOTT RD
WARWICK, MD 21912-1257
Phone number:
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