Individual
DR. DANIEL MATTHEW SUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 E RIDGEWOOD AVE, 3 WEST / SUITE 303, RIDGEWOOD, NJ 07450-3957
(201) 689-7755
(201) 689-0521
Mailing address
1200 E RIDGEWOOD AVE, 3 WEST / SUITE 303, RIDGEWOOD, NJ 07450-3957
(201) 689-7755
(201) 689-0521
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB08144800
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MB08144800
NJ
Other
Enumeration date
06/05/2008
Last updated
05/17/2015
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