| Doctor Name: | MS. SUSANNE ROBERTS |
| NPI Number: | 1083640957 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., N.P.C. |
| License Number: | 26NN07628400 |
| Business Practice Address: | 1019 Broadway West Long Branch, NJ - 077641326 |
| Business Phone Number: | 7322296797 |
| Business Fax Number: | 7322296893 |
| Mailing Address: | 2208 Alpine Trl, NEPTUNE |
| State: | NJ |
| Postal Code: | 077534469 |
| Phone Number: | 7327742607 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 26NN07628400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |