Individual
DR. HEATHER ADINA SUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST STE 4226, TOWSON, MD 21204
(443) 849-2202
(410) 337-5068
Mailing address
6701 N CHARLES ST, # 4226, TOWSON, MD 21204-6808
(201) 745-4657
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA09162900
NJ
207L00000X
Anesthesiology Physician
Primary
D0083956
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381007100
—
MD
Enumeration date
06/30/2009
Last updated
10/15/2019
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