Maiocco, Susan L

Maiocco, Susan L is an individual health care provider with primary practice located at 111 Central Ave Saint Michael'S Medical Center Primarycareclinic1St Fl., Newark NJ 07102-1909. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Maiocco, Susan L can be contacted via phone (973) 877-5080.

Contact Information

Primary practice address
111 Central Ave Saint Michael'S Medical Center Primarycareclinic1St Fl. Newark NJ 07102-1909
Phone: (973) 877-5080
Fax: (973) 877-2718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26NO05261700 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00070900 New Jersey

Profile Details

NPI number 1629028568
LBN Legal business name Maiocco, Susan L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Apr 8th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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