JAMES HERBERT SUSSMAN D. O.

Allergy and Immunology

Santa Fe, New Mexico

Provider NPI: 1285624593

Provider Information:
 JAMES HERBERT SUSSMAN D. O.


Practice Location:
1651 GALISTEO ST SUITE 8 SANTA FE, NM 87505 US
Tel: 505-820-9870  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	NM	A97192

Other Provider Identifiers:

Issuer	Number	State	Type
MEDICARE PTAN	348510103	NM	01
BCBS	NM004B16	NM	01
	E5646	NM	05
AETNA	4664038	NM	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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