Provider Demographics
NPI:1275520579
Name:LAWS-MOBILIO, SUSAN WENDI (DO)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:WENDI
Last Name:LAWS-MOBILIO
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:500 GROVE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1736
Mailing Address - Country:US
Mailing Address - Phone:856-796-9200
Mailing Address - Fax:856-796-9397
Practice Address - Street 1:1104 ROUTE 130 N
Practice Address - Street 2:SUITE K
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3032
Practice Address - Country:US
Practice Address - Phone:856-786-8010
Practice Address - Fax:856-786-0529
Is Sole Proprietor?:No
Enumeration Date:2005-10-02
Last Update Date:2023-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMB37821207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5050600Medicaid
NJ198176C04Medicare PIN
NJC54317Medicare UPIN