Individual
STEPHEN SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 948-7438
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 948-7438
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD11619
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238378
HMSA, HMSA QUEST, 65CP
HI
01
—
515743
UHA
HI
01
—
99017685996793B094
TRICARE CHAMPUS
HI
Enumeration date
08/12/2006
Last updated
09/09/2010
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