| James J Susack Dmd Pc | |
|
151 N Broadway Pennsville NJ 08070-1648 | |
| (856) 678-2033 | |
| (856) 678-2845 |
| Full Name | James J Susack Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 151 N Broadway, Pennsville, New Jersey |
| Authorized Official Name and Position | James J Susack (PRESIDENT) |
| Authorized Official Contact | 8566782033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James J Susack Dmd Pc 151 N Broadway Pennsville NJ 08070-1648 Ph: (856) 678-2033 | James J Susack Dmd Pc 151 N Broadway Pennsville NJ 08070-1648 Ph: (856) 678-2033 |
| NPI Number | 1457590325 |
|---|---|
| Provider Enumeration Date | 02/16/2009 |
| Last Update Date | 02/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457590325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DI018099 (New Jersey) | Primary |
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