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Individual

DR. JEFFREY SUSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
234 GOODMAN ST, BARRETT CENTER, ML 0772, CINCINNATI, OH 45267-1000
(513) 584-8900
(513) 584-0459
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5506
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
35-072812
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2040393
OH
Enumeration date
03/09/2006
Last updated
03/12/2018
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