Provider Demographics
NPI:1376578203
Name:ZEUKAS-JOST, SUSAN MARIE (MA)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MARIE
Last Name:ZEUKAS-JOST
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:SUSAN
Other - Middle Name:MARIE
Other - Last Name:ZEUKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:841 LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846
Mailing Address - Country:US
Mailing Address - Phone:908-902-5453
Mailing Address - Fax:732-356-4830
Practice Address - Street 1:103 PARKER RD
Practice Address - Street 2:SUITE B
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764
Practice Address - Country:US
Practice Address - Phone:732-923-4100
Practice Address - Fax:732-923-1772
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist