Individual provider · Type 1 NPI
Maryann Sous, PA-C
Medical Physician Assistant · Englewood, NJ
NPI number
1962879262
Active
Practice location
350 Engle St
Englewood, NJ 07631-1808
Mailing address
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Other practice locations
- 100 E Lancaster Ave, Wynnewood, PA 19096-3450 · (484) 476-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA060141 (PA) |
| Medical Physician Assistant Primary | 363AM0700X | 25MP00391600 (NJ) |
Medical Physician Assistant: Definition to come...
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About NPI 1962879262
Maryann Sous, PA-C's National Provider Identifier is 1962879262, issued on Aug 21, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Englewood, NJ. The record was last updated on Mar 25, 2025.