Individual
JASON M SUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
179 S PROSPECT AVE, BERGENFIELD, NJ 07621-2640
(201) 384-2880
Mailing address
1684 HANOVER ST, TEANECK, NJ 07666-2222
(201) 907-0099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02210300
NJ
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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