BRIAN DIEVENDORF SUSI

HOBOKEN, NJ
NPI1922079862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NJ  25MA09314200)
Enumeration Date2006-01-30
Last Update Date2017-04-27
Business Address
Dr. BRIAN DIEVENDORF SUSI MD
411 JEFFERSON ST UNIT 2
HOBOKEN, NJ 07030-2606
Phone number: 917-232-2458
Mailing Address
Dr. BRIAN DIEVENDORF SUSI MD
411 JEFFERSON ST UNIT 2
HOBOKEN, NJ 07030-2606
Phone number: 917-232-2458
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