Individual
NEIL JEFFREY KUSSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 POCONO RD, DENVILLE, NJ 07834-2954
(973) 625-6000
Mailing address
PO BOX 26960, NEW YORK, NY 10087-6960
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA06207100
NJ
207L00000X
Anesthesiology Physician
Primary
25MA06207100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3108104
—
NJ
Enumeration date
05/27/2005
Last updated
08/01/2024
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