Individual
ROBERT SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SPRINGFIELD AVE, FIRST FLOOR, SUMMIT, NJ 07901-4055
(908) 934-0555
(908) 904-0556
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04968100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121410
CHN INS.
NJ
01
—
222233003
HORIZON BC
NJ
01
—
222233003007
CIGNA INS.
NJ
01
—
25F581
EMPIRE HEALTH
NJ
01
—
4116257
AETNA INS
NJ
01
—
ES259
OXFORD INS.
NJ
Enumeration date
08/10/2005
Last updated
02/03/2017
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