Individual
ISRAEL SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 COLUMBUS AVE, LAKEWOOD, NJ 08701-3051
(845) 216-5369
Mailing address
26 COLUMBUS AVE, LAKEWOOD, NJ 08701-3051
(845) 216-5369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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