Individual
SALVATORE SUSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
470 STILLWELLS CORNER RD, FREEHOLD, NJ 07728-2969
(732) 780-3633
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
019890
NY
363A00000X
Physician Assistant
Primary
25MP00410200
NJ
Other
Enumeration date
07/27/2016
Last updated
01/24/2024
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