| NPI | 1407834161 | 
|---|---|
| Professional Name | S. JOHN SUSS | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 054679)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD-033938-E)  | 
| Enumeration Date | 2006-01-04 | 
| Last Update Date | 2022-04-13 |