Marcellaro, Suzanne M
Marcellaro, Suzanne M is an individual health care provider with primary practice located at 30 Prospect Ave Faculty Practice Office, Hackensack NJ 07601-1914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Marcellaro, Suzanne M can be contacted via phone (201) 996-2816.Contact Information
Primary practice address
30 Prospect Ave Faculty Practice Office
Hackensack NJ 07601-1914
Phone: (201) 996-2816
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NJ00066700 | New Jersey |
Profile Details
| NPI number | 1063458883 |
|---|---|
| LBN Legal business name | Marcellaro, Suzanne M |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Aug 10th, 2010 - about 14 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 | 1063458883 | NPPES |
| New Jersey | Other | 311045 | AMERIGROUP PIN |
| New Jersey | Other | 60026254 | AMERIGROUP PIN |
| New Jersey | Other | O86O88ZFPY | AMERIGROUP PIN |
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