Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUZANNE W BOTROUS, M.D.
Active Sole ProprietorDR. SUZANNE W BOTROUS, M.D. is a Primary Care Clinic healthcare provider located in EAST ORANGE, New Jersey. NPI 1992861116 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · EAST ORANGE, NJ
Registration Details
- NPI Number
- 1992861116
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2006 (19.645274018487 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA061272 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
185 CENTRAL AVE STE 308EAST ORANGE, NJ, 070183318Browse NJ providers · Browse ZIP 07018
- Phone
- 9736783776
- Fax
- 9736786065
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.