SUSAN IMAM

NEWARK, DE
NPI1821212689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: DE  LM-0000105)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- SUSAN IMAM
OGLETOWN- STANTON RD
NEWARK, DE 19718-0001
Phone number: 302-733-2961
Mailing Address
-- SUSAN IMAM
151 SCOTT RD
WARWICK, MD 21912-1257
Phone number: