Individual
DR. MARTINE SUSKO OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1288 VALLEY FORGE ROAD, UNIT 54, PHOENIXVILLE, PA 19460
(267) 563-8180
(484) 848-5195
Mailing address
807 LAWN AVE, SELLERSVILLE, PA 18960-1549
(215) 257-6551
(215) 257-9347
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP012228
PA
Other
Enumeration date
08/06/2012
Last updated
06/06/2023
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