Chen, Susie
Chen, Susie is an individual health care provider with primary practice located at 99 Beauvoir Ave , Summit NJ 07901-3533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Chen, Susie can be contacted via phone (908) 522-2065.Contact Information
Primary practice address
99 Beauvoir Ave
Summit NJ 07901-3533
Phone: (908) 522-2065
Fax: (908) 522-5763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA07573500 | New Jersey |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 240269-1 | New York |
Profile Details
| NPI number | 1073520664 |
|---|---|
| LBN Legal business name | Chen, Susie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Nov 3rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073520664 | NPPES |
| New York | Other | 02186203 | MEDICAID GROUP # |
| New York | Other | W35021 | MEDICAID GROUP # |
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