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
Fax: (609) 735-0175
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679511208 NPPES
New Jersey MEDICAID 8780102

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