Individual
JOHN R. SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 OLD PARK LN, NEW MILFORD, CT 06776-2508
(860) 354-9321
(860) 350-9304
Mailing address
2 OLD PARK LN, NEW MILFORD, CT 06776-2508
(860) 354-9321
(860) 350-9304
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
025996
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259969
—
CT
Enumeration date
06/30/2005
Last updated
05/07/2013
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