| Doctor Name: | MS. SUSAN F MCCOLLEY |
| NPI Number: | 1114044161 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, APNC |
| License Number: | NN97986 |
| Business Practice Address: | 1550 Park Ave South Plainfield, NJ - 070805565 |
| Business Phone Number: | 9087574222 |
| Business Fax Number: | |
| Mailing Address: | 113 Hamilton Ave, FORDS |
| State: | NJ |
| Postal Code: | 088631915 |
| Phone Number: | 7327380876 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | NN97986 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |