| Doctor Name: | DR. SUSAN LYNN BELANGER |
| NPI Number: | 1104894195 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | NJ25MD00253200 |
| Business Practice Address: | 2100 Corlies Ave Suite 3 Neptune, NJ - 077536102 |
| Business Phone Number: | 7326435500 |
| Business Fax Number: | 7325311035 |
| Mailing Address: | 2100 Corlies Ave, Suite 3 NEPTUNE |
| State: | NJ |
| Postal Code: | 077536102 |
| Phone Number: | 7326435500 |
| Fax Number: | 7328694522 |
| NPI Enumeration Date: | 03/08/2006 |
| NPI Last Update Date: | 04/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | NJ25MD00253200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |