BRIAN DIEVENDORF SUSI

UNION CITY, NJ
NPI1922079862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NJ  25MA09314200)
Enumeration Date2006-01-30
Last Update Date2026-01-14
Business Address
Dr. BRIAN DIEVENDORF SUSI MD
209 MANHATTAN AVE APC C
UNION CITY, NJ 07087-5204
Phone number: 917-232-2458
Mailing Address
Dr. BRIAN DIEVENDORF SUSI MD
209 MANHATTAN AVE APC C
UNION CITY, NJ 07087-5204
Phone number: 917-232-2458