Sausville, Edward Anthony
Sausville, Edward Anthony is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Sausville, Edward Anthony can be contacted via phone (410) 328-7394.Contact Information
Primary practice address
22 S Greene St
Baltimore MD 21201-1544
Phone: (410) 328-7394
Fax: (410) 328-6896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | D27992 | Maryland |
Profile Details
| NPI number | 1528020393 |
|---|---|
| LBN Legal business name | Sausville, Edward Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Mar 8th, 2011 - about 13 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 | 1528020393 | NPPES |
| Maryland | MEDICAID | 342231300 | |
| Maryland | Other | 630416-01 |
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