Provider Demographics
NPI:1205036308
Name:SUOZZO, SHERRI HENRY (NP)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:HENRY
Last Name:SUOZZO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 REHILL AVE STE 2500
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2549
Mailing Address - Country:US
Mailing Address - Phone:908-927-8700
Mailing Address - Fax:908-927-8706
Practice Address - Street 1:30 REHILL AVE
Practice Address - Street 2:SUITE 2500
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2500
Practice Address - Country:US
Practice Address - Phone:908-927-8700
Practice Address - Fax:908-927-8706
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN114577363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner