Individual
ERIC SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 RETREAT AVE STE 705, HARTFORD, CT 06106-2553
(973) 454-5264
Mailing address
100 RETREAT AVE STE 705, HARTFORD, CT 06106-2553
(973) 454-5264
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
67441
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2014
Last updated
05/05/2022
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