Individual
EDWARD BART SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COVE ROAD STUDIO, CHILMARK, MA 02535-0308
(508) 645-3005
(508) 645-2250
Mailing address
3 COVE ROAD STUDIO, CHILMARK, MA 02535-0308
(508) 645-3005
(508) 645-2250
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
39001
MA
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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