Organization
JAMES J SUSACK DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J SUSACK JR. D.M.D. (PRESIDENT)
(856) 678-2033
Entity
Organization
Contact information
Practice address
151 N BROADWAY, PENNSVILLE, NJ 08070-1648
(856) 678-2033
(856) 678-2845
Mailing address
151 N BROADWAY, PENNSVILLE, NJ 08070-1648
(856) 678-2033
(856) 678-2845
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI018099
NJ
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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