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Individual

CLIFFORD L. SUSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 W. FOOTHILL BLVD, SAN DIMAS, CA 91773-1102
(909) 599-9921
(909) 592-3147
Mailing address
150 W. FOOTHILL BLVD, SAN DIMAS, CA 91773-1102
(909) 599-9921
(909) 592-3147

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A45906
CA
207Q00000X
Family Medicine Physician
Primary
A45906
CA

Other

Enumeration date
06/27/2005
Last updated
12/11/2008
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