Most Relevant Information
Provider Data
| NPI Number: | 1003828815 |
| Provider Name: | STEPHEN SUSSMAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Y00000X |
| Specialty: | Otolaryngology |
| License Number: | MD11619 |
Most Important Dates
| Enumeration Date: | 08/12/2006 |
| Last Updated: | 09/09/2010 |
Provider Practice Location
2180 MAIN ST
WAILUKU
HI
967931666
Practice Location Phone/Fax
| Phone: | 8082426464 |
| Fax: | 8089487438 |
Provider Mailing Location
2180 MAIN ST
WAILUKU
HI
967931666
Provider Mailing Phone/Fax
| Phone: | 8082426464 |
| Fax: | 8089487438 |
Suggested EMR
ENT EMR