Suede, Samuel
Suede, Samuel is an sole proprietor health care provider with primary practice located at 25 Rockwood Pl Suite 440, Englewood NJ 07631-4957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Suede, Samuel can be contacted via phone (201) 568-3690.Contact Information
Primary practice address
25 Rockwood Pl Suite 440
Englewood NJ 07631-4957
Phone: (201) 568-3690
Fax: (201) 562-3667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA05797800 | New Jersey |
Profile Details
| NPI number | 1164503116 |
|---|---|
| LBN Legal business name | Suede, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 5th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164503116 | NPPES |
| New Jersey | MEDICAID | 5188407 |
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