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Dr. Djohan Kusnan, MD
Specialist in Paterson, New Jersey
NPI 1881691525

Djohan Kusnan is a Specialist based in Secaucus, NJ. Djohan Kusnan practices in Paterson, NJ and has the professional credentials of MD. The NPI Number for Djohan Kusnan is 1881691525 and holds a License No. MA26839 (New Jersey).

The current practice location address for Djohan Kusnan is 703 Main St, Paterson, NJ and can be reached out via phone at 973-754-2323 and via fax at 973-977-9455.

Location: 703 Main St, Paterson, NJ, 07096-1593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881691525
Provider Name
Djohan Kusnan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
703 Main St, Paterson, NJ, 07096-1593
Phone Number
973-754-2323
Fax Number
973-977-9455
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1390902 05 NJ
institution
Provider Business Practice Location Address Details
Address
703 Main St
City
Paterson
State
New Jersey
Zip
07503-2621
Phone Number
973-754-2323
Fax Number
973-977-9455
person
Provider Business Mailing Address Details
Address
703 Main St
City
Paterson
State
New Jersey
Zip
07503-2621
Phone Number
973-754-2323
Fax Number
973-977-9455
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA26839 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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