Suskin, Dan

Suskin, Dan is an individual health care provider with primary practice located at 700 Medical Center Blvd Gwinnett Womens Pavilion, Lawrenceville GA 30046-7693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Suskin, Dan can be contacted via phone (770) 921-4492.

Contact Information

Primary practice address
700 Medical Center Blvd Gwinnett Womens Pavilion Lawrenceville GA 30046-7693
Phone: (770) 921-4492
Fax: (770) 696-3358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036883 Georgia

Profile Details

NPI number 1679631881
LBN Legal business name Suskin, Dan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 8th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679631881 NPPES
Georgia MEDICAID 10052477
Georgia Other 52412187
Georgia MEDICAID 117057
Georgia MEDICAID 322063
Georgia MEDICAID 000700983D
Georgia MEDICAID 000700983F
Georgia MEDICAID 000700983B

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