Doctor Name: | DR. AMADO ROSS SUSSMANN |
NPI Number: | 1780880096 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA09129900 |
Business Practice Address: | 483 Cranbury Rd East Brunswick, NJ - 088163610 |
Business Phone Number: | 7323900040 |
Business Fax Number: | 7323901856 |
Mailing Address: | 579a Cranbury Rd, EAST BRUNSWICK |
State: | NJ |
Postal Code: | 088165426 |
Phone Number: | 7323900040 |
Fax Number: | 7323901856 |
NPI Enumeration Date: | 06/23/2007 |
NPI Last Update Date: | 07/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 25MA09129900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |