Susi, Brian Dievendorf

Susi, Brian Dievendorf is an sole proprietor health care provider with primary practice located at 411 Jefferson St Unit 2, Hoboken NJ 07030-2606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Susi, Brian Dievendorf can be contacted via phone (917) 232-2458.

Contact Information

Primary practice address
411 Jefferson St Unit 2 Hoboken NJ 07030-2606
Phone: (917) 232-2458
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA09314200 New Jersey

Profile Details

NPI number 1922079862
LBN Legal business name Susi, Brian Dievendorf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Apr 27th, 2017 - about 8 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.

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