Individual
JEFFREY LOUIS SUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 CRESCENT AVENUE, UNIVERSITY WYOMING FAMILY PRACTICE CENTER, CINCINNATI, OH 45215
(513) 821-0275
(513) 821-3621
Mailing address
2830 VICTORY PKWY STE 120, CINCINNATI, OH 45206-1786
(513) 245-3052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.077346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2163135
—
OH
Enumeration date
12/16/2005
Last updated
09/12/2008
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