Suss, Heather Adina

Suss, Heather Adina is an individual health care provider with primary practice located at 6701 N Charles St Ste 4226 , Towson MD 21204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Suss, Heather Adina can be contacted via phone (443) 849-2202.

Contact Information

Primary practice address
6701 N Charles St Ste 4226 Towson MD 21204
Phone: (443) 849-2202
Fax: (410) 337-5068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA09162900 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0083956 Maryland

Profile Details

NPI number 1093943813
LBN Legal business name Suss, Heather Adina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Oct 15th, 2019 - about 5 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 1093943813 NPPES
Maryland MEDICAID 381007100

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