Fedoruk, Susan

Fedoruk, Susan is an individual health care provider with primary practice located at 425 Jack Martin Blvd , Brick NJ 08724-7732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fedoruk, Susan can be contacted via phone (732) 836-4504.

Contact Information

Primary practice address
425 Jack Martin Blvd Brick NJ 08724-7732
Phone: (732) 836-4504
Fax: (732) 836-4532
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NO07839100 New Jersey

Profile Details

NPI number 1336163716
LBN Legal business name Fedoruk, Susan
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 23rd, 2017 - about 8 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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