Provider Demographics
NPI:1538606967
Name:SUZUKI MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:SUZUKI MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:APN-C
Authorized Official - Phone:732-675-8789
Mailing Address - Street 1:3 MARKET ST # 400
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-2080
Mailing Address - Country:US
Mailing Address - Phone:609-275-5700
Mailing Address - Fax:
Practice Address - Street 1:3 MARKET ST # 400
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-2080
Practice Address - Country:US
Practice Address - Phone:609-275-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00687700363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty