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NPI Code Detail

MEDICARE: MICHAEL F. SUSSMAN M.D.

MEDICARE:   MICHAEL F. SUSSMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician56704MA

Other Identifiers

General Provider Information

NPI Number : 1881671832
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL F. SUSSMAN M.D.
Provider Business Mailing Address
First Line : 197 ADAMS RD
Second Line :
City : WILLIAMSTOWN
State : MA
Zip : 01267-2930
Country : US
Telephone Number : 413-458-8182
Fax Number : 413-458-3140
Provider Business Practice Location Address
First Line : 197 ADAMS RD
Second Line :
City : WILLIAMSTOWN
State : MA
Zip : 01267-2930
Country : US
Telephone Number : 413-458-8182
Fax Number : 413-458-3140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 10/04/2007

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Directions to “ MICHAEL F. SUSSMAN M.D.” Practice Location

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