Provider Demographics
NPI:1386665628
Name:KABIS, SUZANNE M (MD)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:KABIS
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:1350 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3341
Mailing Address - Country:US
Mailing Address - Phone:732-246-2626
Mailing Address - Fax:732-249-5480
Practice Address - Street 1:1350 HAMILTON ST
Practice Address - Street 2:THE RENAL GROUP OF CENTRAL NEW JERSEY, P.A.
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3341
Practice Address - Country:US
Practice Address - Phone:732-246-2626
Practice Address - Fax:732-249-5480
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2019-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04607700207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC63263Medicare UPIN