Individual
TED L SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 HARTFORD ST, SIGRID E TOMPKINS HEALTH CENTER, HOULTON, ME 04730-1844
(207) 532-4068
(207) 532-5974
Mailing address
20 HARTFORD ST, HOULTON, ME 04730-1891
(207) 532-2900
(207) 532-5974
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10269
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEME18
MEDICARE - PACER CLINIC
ME
Enumeration date
03/14/2006
Last updated
05/04/2017
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