Mitaec Suh, NP | |
20 Point View Pkwy, Wayne, NJ 07470-2057 | |
(973) 628-8500 | |
Not Available |
Full Name | Mitaec Suh |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 20 Point View Pkwy, Wayne, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508813353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 26NJ00038400 (New Jersey) | Primary |
Entity Name | St Josephs Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
Entity Name | American Current Care Of New Jersey Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609044999 PECOS PAC ID: 1153461264 Enrollment ID: O20091222000279 |
Entity Name | St. Joseph's Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568791192 PECOS PAC ID: 5092996181 Enrollment ID: O20110223000002 |
Mailing Address | Practice Location Address |
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Mitaec Suh, NP 33 Lenox Ave, Clifton, NJ 07012-1818 Ph: (973) 779-5478 | Mitaec Suh, NP 20 Point View Pkwy, Wayne, NJ 07470-2057 Ph: (973) 628-8500 |
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