Provider Demographics
NPI:1356507453
Name:S&S THERAPEUTICS, INC.
Entity type:Organization
Organization Name:S&S THERAPEUTICS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FERDON
Authorized Official - Suffix:
Authorized Official - Credentials:MAPT
Authorized Official - Phone:973-248-8631
Mailing Address - Street 1:422 RTE 23
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1825
Mailing Address - Country:US
Mailing Address - Phone:973-248-8631
Mailing Address - Fax:973-248-8631
Practice Address - Street 1:422 RTE 23
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1825
Practice Address - Country:US
Practice Address - Phone:973-248-8631
Practice Address - Fax:973-248-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA004372252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency