Active NPIIndividual providerSole proprietor

Edward B Sussman, MD

Pathology, Forensic Pathology in Chilmark, Massachusetts

NPI Number1659604510
Practice location
3 Cove Road Studio, Chilmark, MA 02535-0308
Fax
508-645-2250
Last updated
September 10, 2009

Edward Bart Sussman is a Pathology, Forensic Pathology based in Chilmark, MA. Edward Bart Sussman practices in Chilmark, MA and has the professional credentials of MD. The NPI Number for Edward Bart Sussman is 1659604510 and holds a License No. 39001 (MA). The current practice location address for Edward Bart Sussman is 3 Cove Road Studio, Chilmark, MA 02535-0308 and can be reached out via phone at 508-645-3005 and via fax at 508-645-2250.

Provider Profile Details

NPI Number
1659604510
Provider Name
Edward Bart Sussman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3 Cove Road Studio, Chilmark, MA 02535-0308
Phone Number
508-645-3005
Fax Number
508-645-2250
Primary Taxonomy
Pathology, Forensic Pathology · 207ZF0201X
Sole Proprietor
Yes
Provider Enumeration Date
September 10, 2009
Last Update Date
September 10, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Cove Road Studio
Chilmark, MA 02535-0308
Zip
02535-0308
Phone Number
508-645-3005
Fax Number
508-645-2250
Chilmark, MA 02535Get directions →

Provider Business Mailing Address Details

Address
3 Cove Road Studio
Chilmark, MA 02535-0308
City
Chilmark
State
MA
Zip
02535-0308
Phone Number
508-645-3005
Fax Number
508-645-2250

License Information

License Number
39001
License State
MA
Taxonomy
Pathology, Forensic Pathology · 207ZF0201X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edward B Sussman, MD?

The NPI number of Edward B Sussman, MD is 1659604510. It was assigned on September 10, 2009 and is currently active in the NPPES registry.

What is the specialty of Edward B Sussman, MD?

Edward B Sussman, MD is registered under the primary taxonomy Pathology, Forensic Pathology (code 207ZF0201X), licensed in MA under license number 39001.

Where does Edward B Sussman, MD practice?

The practice location is 3 Cove Road Studio, Chilmark, MA 02535-0308. The office can be reached at 508-645-3005 (phone) or 508-645-2250 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659604510 directly on the NPPES registry website.

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