Individual
DR. DAVID ILAN SUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, EAST CAMPUS - ES101, BOSTON, MA 02215-5400
(617) 667-7284
Mailing address
N14W30351 WILLOW HILL RD, DELAFIELD, WI 53018-2141
(614) 783-6207
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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