Individual
MR. CRAIG SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C,PMHNP
Contact information
Practice address
111 OLD ROAD TO NINE ACRE CORNER, CONCORD, MA 01742-4141
(978) 369-1113
(978) 369-0908
Mailing address
111 OLD ROAD TO NINE ACRE CORNER, CONCORD, MA 01742-4141
(978) 369-1113
(978) 369-0908
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN238050
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238050
LICENSE
MA
Enumeration date
03/06/2008
Last updated
02/24/2016
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