person
Maryann Sous, PA-C
Medical Physician Assistant in Englewood, New Jersey
NPI 1962879262

Maryann Sous is a Medical Physician Assistant based in Wynnewood, NJ and is specialized in Medical. Maryann Sous practices in Englewood, NJ and has the professional credentials of PA-C. The NPI Number for Maryann Sous is 1962879262 and holds a License No. MA060141 (New Jersey).

The current practice location address for Maryann Sous is 350 Engle St, Englewood, NJ and can be reached out via phone at 201-894-3636.

Location: 350 Engle St, Englewood, NJ, 19096-3450
person
Provider Profile Details
NPI Number
1962879262
Provider Name
Maryann Sous
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
350 Engle St, Englewood, NJ, 19096-3450
Phone Number
201-894-3636
Fax Number
Provider Enumeration Date
08/21/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0867586 05 NJ
institution
Provider Business Practice Location Address Details
Address
350 Engle St
City
State
Zip
07631-1808
Phone Number
201-894-3636
Fax Number
person
Provider Business Mailing Address Details
Address
350 Engle St
City
State
Zip
07631-1808
Phone Number
201-894-3636
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA060141 (Pennsylvania)
Definition
Definition to come...
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