Individual
ELLIOT JAY SUCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1261 ROUTE 38, SUITE A, HAINESPORT, NJ 08036-2702
(856) 222-1975
(856) 222-0721
Mailing address
1261 ROUTE 38, SUITE A, HAINESPORT, NJ 08036-2702
(856) 222-1975
(856) 222-0721
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA 72248
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4624807
—
NJ
05
—
8506400
—
NJ
Enumeration date
05/06/2006
Last updated
05/06/2013
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