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Individual
MR. THOMAS JOSEPH SUSPENSKI
Active
Individual
MR. THOMAS JOSEPH SUSPENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T., A.T.C.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT 001192E
PA
225100000X
Physical Therapist
Primary
PT001192E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356967
BC/BS - PERS. CHOICE
PA
01
—
2792903
AETNA
PA
Enumeration date
07/07/2005
Last updated
02/20/2017
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