Individual
MARK B. SUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6040 HARFORD RD, BALTIMORE, MD 21214-1327
(410) 426-8855
Mailing address
3 DUNCROFT PL, APT. TC, BALTIMORE, MD 21236-3181
(443) 838-0506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21800
MD
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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