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Individual

DR. BETSY L. SUSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 COLCHESTER AVE, DEPARTMENT OF RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3592
(802) 847-4822
Mailing address
325 DORSET HTS, SOUTH BURLINGTON, VT 05403-8111
(802) 860-7593

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
042-0007440
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9558
VT
Enumeration date
07/16/2006
Last updated
07/08/2007
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