Individual
JOSHUA SUSSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7474 GREENWAY CENTER DR, SUITE 730, GREENBELT, MD 20770-3504
(301) 982-3437
Mailing address
7474 GREENWAY CENTER DR, SUITE 730, GREENBELT, MD 20770-3504
(301) 982-3437
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0065597
MD
2084P0802X
Addiction Psychiatry Physician
19693
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4125850 01
—
MD
Enumeration date
05/09/2007
Last updated
05/28/2024
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