person
Dr. Suzanne W Botrous, MD
Primary Care Clinic/Center in East Orange, New Jersey
NPI 1992861116

Suzanne W Botrous is a Primary Care Clinic/Center based in East Orange, NJ and is specialized in Primary Care. 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 (New Jersey).

The current practice location address for Suzanne W Botrous is 185 Central Ave Ste 308, East Orange, NJ and can be reached out via phone at 973-678-3776 and via fax at 973-678-6065. You can also correspond with Suzanne W Botrous through the mailing address at 185 CENTRAL AVE STE 308, EAST ORANGE, NJ - 07018-3318 (mailing address contact number: 973-678-3776).

Location: 185 Central Ave Ste 308, East Orange, NJ, 07018-3318
person
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
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6381006 05 NJ
institution
Provider Business Practice Location Address Details
Address
185 Central Ave Ste 308
City
State
Zip
07018-3318
Phone Number
973-678-3776
Fax Number
973-678-6065
person
Provider Business Mailing Address Details
Address
185 Central Ave Ste 308
City
State
Zip
07018-3318
Phone Number
973-678-3776
Fax Number
973-678-6065
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MA061272 (New Jersey)
Definition
Definition to come...
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