Individual
DR. JASON V. SUSTERSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6571 BRECKSVILLE RD, INDEPENDENCE, OH 44131-4848
(216) 233-5996
Mailing address
5617 BIDDULPH AVE, CLEVELAND, OH 44144-3504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-008460
OH
Other
Enumeration date
06/29/2006
Last updated
12/23/2020
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