Organization
JOHN R. SUSSMAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R. SUSSMAN M.D. (OWNER)
(860) 354-9321
Entity
Organization
Contact information
Practice address
2 OLD PARK LN, NEW MILFORD, CT 06776-2560
(860) 354-9321
(860) 350-9304
Mailing address
2 OLD PARK LN, NEW MILFORD, CT 06776-2560
(860) 354-9321
(860) 350-9304
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
025996
CT
Other
Enumeration date
08/07/2007
Last updated
08/28/2007
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