Suriawinata, Arief

Suriawinata, Arief is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc - Pathology, Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Suriawinata, Arief can be contacted via phone (603) 650-7048.

Contact Information

Primary practice address
1 Medical Center Dr Dhmc - Pathology Lebanon NH 03756-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11978 New Hampshire

Profile Details

NPI number 1154350940
LBN Legal business name Suriawinata, Arief
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jul 10th, 2007 - about 17 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 1154350940 NPPES
Vermont MEDICAID 1009846
Vermont MEDICAID 30203631

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