MEDICARE: SUSAN M APTE,MD,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1336492743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN M APTE,MD,LLC

Provider Business Mailing Address
First Line	:	10303 RIVER RUN LN
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-6076
Country	:	US
Telephone Number	:	440-463-5178
Fax Number	:

Provider Business Practice Location Address
First Line	:	11900 FAIRHILL RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1062
Country	:	US
Telephone Number	:	216-983-8030
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. SUSAN M APTE
Credential	:	M.D.
Telephone Number	:	440-463-5178

Provider Enumeration Date	:	10/23/2012
Last Update Date	:	10/23/2012

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