Rae, Susan

Rae, Susan is an sole proprietor health care provider with primary practice located at 1031 Mcbride Ave Suite 210 D, Woodland Park NJ 07424-2559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rae, Susan can be contacted via phone (973) 812-9091.

Contact Information

Primary practice address
1031 Mcbride Ave Suite 210 D Woodland Park NJ 07424-2559
Phone: (973) 812-9091
Fax: (973) 339-9040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06609700 New Jersey

Profile Details

NPI number 1437158094
LBN Legal business name Rae, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2005
Last updated Feb 9th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437158094 NPPES
New Jersey Other 01000576801 AMERICHOICE HMO
New Jersey MEDICAID 8777209 AMERICHOICE HMO
New Jersey Other 2K4791 AMERICHOICE HMO
New Jersey Other 60005903 AMERICHOICE HMO
New Jersey Other P00075820 AMERICHOICE HMO

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