Individual provider · Type 1 NPI

Suzanne W. Botrous, MD

Primary Care Clinic/Center · East Orange, NJ

NPI number 1992861116 Active

Practice location

185 Central Ave Ste 308
East Orange, NJ 07018-3318

Call (973) 678-3776 Map

Fax (973) 678-6065

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XMA061272 (NJ)

Primary Care Clinic/Center: Definition to come...

About NPI 1992861116

Suzanne W. Botrous, MD's National Provider Identifier is 1992861116, issued on Dec 29, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in East Orange, NJ. The record was last updated on Jul 8, 2007.