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Individual

JEFFREY SUSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
299 CAREW ST, NEW ENGLAND PATHOLOGY ASSOCIATES PC, SPRINGFIELD, MA 01104
(413) 748-9513
(413) 748-6844
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
73526
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
73526
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30206823
NH
05
3076792
MA
Enumeration date
07/03/2006
Last updated
11/11/2021
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