Mautone, Susan George
Mautone, Susan George is an individual health care provider with primary practice located at 150 Bergen St , Newark NJ 07103-2496. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mautone, Susan George can be contacted via phone (973) 972-0741.Contact Information
Primary practice address
150 Bergen St
Newark NJ 07103-2496
Phone: (973) 972-0741
Fax: (973) 972-7597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA03760300 | New Jersey |
Profile Details
| NPI number | 1942352448 |
|---|---|
| LBN Legal business name | Mautone, Susan George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Aug 18th, 2009 - about 17 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 | 1942352448 | NPPES |
| New Jersey | MEDICAID | 2094606 |
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