Sussman, Barry

Sussman, Barry is an individual health care provider with primary practice located at 375 Engle St , Englewood NJ 07631-1823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sussman, Barry can be contacted via phone (201) 894-0400.

Contact Information

Primary practice address
375 Engle St Englewood NJ 07631-1823
Phone: (201) 894-0400
Fax: (201) 894-1022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA03498600 New Jersey
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA03498600 New Jersey

Profile Details

NPI number 1801881487
LBN Legal business name Sussman, Barry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Apr 9th, 2009 - about 15 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 1801881487 NPPES
New Jersey Other 330001880 RAILROAD MEDICARE ID #
New Jersey MEDICAID 0882801 RAILROAD MEDICARE ID #

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