JAMES J SUSACK DMD PC NPI 1457590325

NPI Information

NPI: 1457590325
Provider Name: JAMES J SUSACK DMD PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
151 N BROADWAY
PENNSVILLE, NJ
ZIP 08070
Phone: (856) 678-2033
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JAMES J SUSACK DMD PC is a dental clinic center in Pennsville, NJ. JAMES J SUSACK DMD PC NPI is 1457590325. The provider is registered as an organization entity type.

The provider's business location address is:

151 N BROADWAY
PENNSVILLE, NJ
ZIP 08070-648
Phone: (856) 678-2033
Fax: (856) 678-2845

The provider's authorized official is James J Susack .
The authorized official title is President and has the following contact phone number (856) 678-2033.

The enumeration date for this NPI number is 2/16/2009 and was last updated on 2/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DI018099	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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