Individual
DR. BARRY SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 BONNIE DOONE TER, CORONA DEL MAR, CA 92625-1716
(973) 632-1652
(973) 632-1652
Mailing address
1315 BONNIE DOONE TER, CORONA DEL MAR, CA 92625-1716
(949) 759-1956
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G-037064
CA
Other
Enumeration date
03/03/2008
Last updated
05/13/2009
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