Fitzgerald, Susan Rose

Fitzgerald, Susan Rose is an sole proprietor health care provider with primary practice located at 1935 Route 70 E , Cherry Hill NJ 08003-2117. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fitzgerald, Susan Rose can be contacted via phone (856) 546-8525.

Contact Information

Primary practice address
1935 Route 70 E Cherry Hill NJ 08003-2117
Phone: (856) 546-8525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X MA052827 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA052828 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00174000 New Jersey

Profile Details

NPI number 1346318862
LBN Legal business name Fitzgerald, Susan Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Mar 11th, 2020 - about 4 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 1346318862 NPPES
Pennsylvania Other MA052828 MEDICAL LICENSE
Pennsylvania Other 25 MP00174000 MEDICAL LICENSE

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