Doctor Name: | SUSAN PAGLIONE |
NPI Number: | 1003918145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 26NO/NN08592300 |
Business Practice Address: | 817 Federal Street Camden, NJ - 08103 |
Business Phone Number: | 8565419811 |
Business Fax Number: | 8562251678 |
Mailing Address: | 817 Federal Street, Suite 300 CAMDEN |
State: | NJ |
Postal Code: | 08103 |
Phone Number: | 8565415933 |
Fax Number: | 8565413340 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 01/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 26NO/NN08592300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |