Provider Demographics
NPI:1013469618
Name:CECI, SUSAN JANE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:JANE
Last Name:CECI
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 LAWRENCIA DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2026
Mailing Address - Country:US
Mailing Address - Phone:609-896-1435
Mailing Address - Fax:
Practice Address - Street 1:1 SQUIBB DR
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1588
Practice Address - Country:US
Practice Address - Phone:732-227-5551
Practice Address - Fax:732-227-3550
Is Sole Proprietor?:No
Enumeration Date:2016-10-29
Last Update Date:2016-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NRO3810700163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health