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Individual

DR. ROBERT A SUSINNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 BROAD AVE, BOX 328, PALISADES PARK, NJ 07650-0328
(201) 945-5222
(201) 945-7876
Mailing address
101 BROAD AVE, P.O. BOX 328, PALISADES PARK, NJ 07650-1438
(201) 945-5222
(201) 945-7876

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D02469200
NJ

Other

Enumeration date
06/29/2006
Last updated
07/08/2007
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