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Individual

DR. LEE JEFFREY SUCKNO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
170 E MAIN ST, STE 202, ROCKAWAY, NJ 07866-3530
(973) 627-8915
Mailing address
170 E MAIN ST, STE 202, ROCKAWAY, NJ 07866-3530
(973) 627-8915

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04435300
NJ

Other

Enumeration date
07/29/2005
Last updated
07/08/2007
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