Individual
DAVID SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
538 CHESTNUT ST, ORANGE, NJ 07050-1107
(973) 518-0006
Mailing address
538 CHESTNUT ST, ORANGE, NJ 07050-1107
(973) 518-0006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0254300
NJ
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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