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
Fax: (856) 231-8428
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558369629 NPPES
New Jersey MEDICAID 0967602

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