Dr. Suzanne W Botrous, MD
Clinic/Center, Primary Care in East Orange, New Jersey
1992861116- Practice location
- 185 Central Ave Ste 308, East Orange, NJ 07018-3318
- Phone
- 973-678-3776
- Fax
- 973-678-6065
- Last updated
- July 8, 2007
Suzanne W Botrous is a Clinic/Center, Primary Care based in East Orange, NJ. Suzanne W Botrous practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Suzanne W Botrous is 1992861116 and holds a License No. MA061272 (NJ). The current practice location address for Suzanne W Botrous is 185 Central Ave Ste 308, East Orange, NJ 07018-3318 and can be reached out via phone at 973-678-3776 and via fax at 973-678-6065.
Provider Profile Details
- NPI Number
- 1992861116
- Provider Name
- Suzanne W Botrous
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 185 Central Ave Ste 308, East Orange, NJ 07018-3318
- Phone Number
- 973-678-3776
- Fax Number
- 973-678-6065
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 29, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 185 Central Ave Ste 308
East Orange, NJ 07018-3318 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-3318
- Phone Number
- 973-678-3776
- Fax Number
- 973-678-6065
Provider Business Mailing Address Details
- Address
- 185 Central Ave Ste 308
East Orange, NJ 07018-3318 - City
- East Orange
- State
- NJ
- Zip
- 07018-3318
- Phone Number
- 973-678-3776
- Fax Number
- 973-678-6065
License Information
- License Number
- MA061272
- License State
- NJ
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Suzanne W Botrous, MD?
The NPI number of Dr. Suzanne W Botrous, MD is 1992861116. It was assigned on December 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Suzanne W Botrous, MD?
Dr. Suzanne W Botrous, MD is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number MA061272.
Where does Dr. Suzanne W Botrous, MD practice?
The practice location is 185 Central Ave Ste 308, East Orange, NJ 07018-3318. The office can be reached at 973-678-3776 (phone) or 973-678-6065 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992861116 directly on the NPPES registry website.