Supe, Dana
Supe, Dana is an individual health care provider with primary practice located at 200 Trenton Rd Dept. Of Surgery, Browns Mills NJ 08015-1705. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Supe, Dana can be contacted via phone (609) 893-1200.Contact Information
Primary practice address
200 Trenton Rd Dept. Of Surgery
Browns Mills NJ 08015-1705
Phone: (609) 893-1200
Fax: (609) 735-0175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06493000 | New Jersey |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25MA06493000 | New Jersey |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 25MA06493000 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA06493000 | New Jersey |
Profile Details
| NPI number | 1679511208 |
|---|---|
| LBN Legal business name | Supe, Dana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Dec 16th, 2020 - about 4 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 | 1679511208 | NPPES |
| New Jersey | MEDICAID | 8780102 |
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