Individual
MARC SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 614-3891
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563
(410) 550-2011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D44841
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654321900
—
MD
Enumeration date
07/11/2006
Last updated
01/31/2013
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