Provider Demographics
NPI:1508312315
Name:ABEL BOENERJOUS, SUHAS MASILAMANI
Entity Type:Individual
Prefix:DR
First Name:SUHAS
Middle Name:MASILAMANI
Last Name:ABEL BOENERJOUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WILLOWBROOK LN
Mailing Address - Street 2:SWEDESBORO
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-1682
Mailing Address - Country:US
Mailing Address - Phone:347-918-6822
Mailing Address - Fax:
Practice Address - Street 1:1650 GRAND CONCURSE,
Practice Address - Street 2:BRONX-LEBANON HOSPITAL CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457
Practice Address - Country:US
Practice Address - Phone:718-590-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program