Entmacher, Susan D
Entmacher, Susan D is an individual health care provider with primary practice located at 703 E Main St , Moorestown NJ 08057-3082. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Entmacher, Susan D can be contacted via phone (856) 727-0900.Contact Information
Primary practice address
703 E Main St
Moorestown NJ 08057-3082
Phone: (856) 727-0900
Fax: (856) 231-8428
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 25MA04847800 | New Jersey |
Profile Details
NPI number | 1558369629 |
---|---|
LBN Legal business name | Entmacher, Susan D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2005 |
Last updated | Oct 23rd, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558369629 | NPPES |
New Jersey | MEDICAID | 0967602 |
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