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Individual

DR. MARK SUSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2926 WINTERS CHASE WAY, ANNAPOLIS, MD 21401-7704
(410) 266-9120
(443) 949-0226
Mailing address
2926 WINTERS CHASE WAY, ANNAPOLIS, MD 21401-7704
(410) 266-9120
(443) 949-0226

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00266
MD
213EP1101X
Primary Podiatric Medicine Podiatrist
00266
MD

Other

Enumeration date
05/27/2015
Last updated
05/27/2015
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