Sussman, Jeffrey
Sussman, Jeffrey is an individual health care provider with primary practice located at 299 Carew St New England Pathology Associates Pc, Springfield MA 01104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Sussman, Jeffrey can be contacted via phone (413) 748-9513.Contact Information
Primary practice address
299 Carew St New England Pathology Associates Pc
Springfield MA 01104
Phone: (413) 748-9513
Fax: (413) 748-6844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 73526 | Massachusetts |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 73526 | Massachusetts |
Profile Details
NPI number | 1629008115 |
---|---|
LBN Legal business name | Sussman, Jeffrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Nov 11th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629008115 | NPPES |
New Hampshire | MEDICAID | 30206823 | |
New Hampshire | MEDICAID | 3076792 |
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