Anthony M Susinno Md | |
101 Broad Ave Box 607 Palisades Park NJ 07650 | |
(201) 945-5222 | |
Not Available |
Full Name | Anthony M Susinno Md |
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Speciality | Family Medicine |
Location | 101 Broad Ave, Palisades Park, New Jersey |
Authorized Official Name and Position | Anthony M Susinno (MD) |
Authorized Official Contact | 2019455222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anthony M Susinno Md 101 Broad Ave Box 607 Palisades Park NJ 07650 Ph: (201) 945-5222 | Anthony M Susinno Md 101 Broad Ave Box 607 Palisades Park NJ 07650 Ph: (201) 945-5222 |
NPI Number | 1245244573 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 07/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245244573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA01095800 (New Jersey) | Primary |
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