Basic Information
Provider Information
NPI: 1336492743
EntityType: 2
ReplacementNPI:  
OrganizationName: SUSAN M APTE,MD,LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 10303 RIVER RUN LN
Address2:  
City: NORTH ROYALTON
State: OH
PostalCode: 441336076
CountryCode: US
TelephoneNumber: 4404635178
FaxNumber:  
Practice Location
Address1: 11900 FAIRHILL RD
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441201062
CountryCode: US
TelephoneNumber: 2169838030
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/23/2012
LastUpdateDate: 10/23/2012
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: APTE
AuthorizedOfficialFirstName: SUSAN
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: PHYSICIAN
AuthorizedOfficialTelephone: 4404635178
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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