Popolo Becker, Susan Marie

Popolo Becker, Susan Marie is an individual health care provider with primary practice located at 1 Cedar Crest Village Dr , Pompton Plains NJ 07444-2100. 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. Popolo Becker, Susan Marie can be contacted via phone (973) 831-3540.

Contact Information

Primary practice address
1 Cedar Crest Village Dr Pompton Plains NJ 07444-2100
Phone: (973) 831-3540
Fax: (973) 831-3503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NN105310 New Jersey

Profile Details

NPI number 1760569982
LBN Legal business name Popolo Becker, Susan Marie
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 13th, 2012 - about 13 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 1760569982 NPPES
New Jersey MEDICAID 0203335
New Jersey Other 83-14608
New Jersey Other 52-2114204-0
New Jersey Other 522114204001

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