SearchDelaware363LN0005X

Susan Imam

NPI 1821212689 · on the registry since 2007 · sole proprietor

Practice

Address
Ogletown- Stanton Rd
Newark, DE 19718
Phone
(302) 733-2961

Registry record

Primary taxonomy
363LN0005X
363LN0005X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware