Knezevic, Dusan
Knezevic, Dusan is an sole proprietor health care provider with primary practice located at 123 Highland Ave Suite 302, Glen Ridge NJ 07028-1527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Knezevic, Dusan can be contacted via phone (973) 748-9555.Contact Information
Primary practice address
123 Highland Ave Suite 302
Glen Ridge NJ 07028-1527
Phone: (973) 748-9555
Fax: (973) 748-2003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA07449000 | New Jersey |
Profile Details
| NPI number | 1023062866 |
|---|---|
| LBN Legal business name | Knezevic, Dusan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Nov 28th, 2012 - about 12 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 | 1023062866 | NPPES |
| New Jersey | MEDICAID | 9127402 |
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