Doctor Name: | DR. SUSAN FLANZMAN |
NPI Number: | 1609870245 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA06639500 |
Business Practice Address: | 466 Old Hook Rd Suite 1 Emerson, NJ - 076301377 |
Business Phone Number: | 2019678221 |
Business Fax Number: | 2016349647 |
Mailing Address: | 466 Old Hook Road, Suite 1 EMERSON |
State: | NJ |
Postal Code: | 076301377 |
Phone Number: | 2019678221 |
Fax Number: | 2016349647 |
NPI Enumeration Date: | 06/10/2005 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA06639500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |