| Doctor Name: | SUSAN J WILSON |
| NPI Number: | 1396757811 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,APN-C |
| License Number: | 26NC07654700 |
| Business Practice Address: | 210 South Shore Road, Suite 106 Hope Community Cancer Center Marmora, NJ - 082231271 |
| Business Phone Number: | 6093907888 |
| Business Fax Number: | 6093902614 |
| Mailing Address: | 210 South Shore Road, Suite 106, Hope Community Cancer Center MARMORA |
| State: | NJ |
| Postal Code: | 082231271 |
| Phone Number: | 6093907888 |
| Fax Number: | 6093902614 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 09/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SX0200X |
| License Number: | 26NC07654700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | |