Adubato, Susan Ann

Adubato, Susan Ann is an individual health care provider with primary practice located at 30 Bergen St Admc 1608, Newark NJ 07107-3000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Adubato, Susan Ann can be contacted via phone (973) 972-7717.

Contact Information

Primary practice address
30 Bergen St Admc 1608 Newark NJ 07107-3000
Fax: (973) 972-6556
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 35SI00226100 New Jersey

Profile Details

NPI number 1730224601
LBN Legal business name Adubato, Susan Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Aug 14th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730224601 NPPES
New Jersey MEDICAID 1574701

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