Clifford L. Sussman M.D.

NPI 1033115688 - Specialist - 174400000X

NPI Details
NPI 1033115688
Gender Male
Enumeration Date 06/27/2005
Last Updated 12/11/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
150 W. FOOTHILL BLVD
SAN DIMAS CA, 91773-1102, US
Phone (909) 599-9921
Fax (909) 592-3147
Business Location
150 W. FOOTHILL BLVD
SAN DIMAS CA, 91773-1102, US
Phone (909) 599-9921
Fax (909) 592-3147
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A45906
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According to our database, Clifford L. Sussman M.D. NPI is 1033115688, taxonomy code is 174400000X and license number is A45906, license state is located at California. Clifford L. Sussman M.D. physically located at 150 W. Foothill Blvd, San Dimas CA, 91773-1102. NPI Number Clifford L. Sussman M.D. has the Individual type.

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1033115688 NPI number is provided on an as is basis without warranty of any kind. 1033115688 is maintained by the National Plan & Provider Enumeration System. The contents of Clifford L. Sussman M.D. are for informational purposes only.