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Contact Information

DUSAN KNEZEVIC, MD
123 HIGHLAND AVE
SUITE 302
GLEN RIDGE, NJ07028-1527
 Phone: 973-748-9555
 Fax: 973-748-2003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DUSAN KNEZEVIC · (Male)

NPI Number 1023062866
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2006
Last updated 11/28/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA07449000
  • NJ Medicaid 9127402
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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