Individual
JACOB SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 S COLLEGE AVE, NEWARK, DE 19716-2000
(610) 428-8217
Mailing address
1453 HAMPTON RD, ALLENTOWN, PA 18104-2017
(610) 428-8217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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