NPI 1003996950

Mark R Susskind, MD

Practitioner Urology Physician Fairfield, CA

Practice location

Address: 1234 Empire St, Fairfield, CA 94533-5711
Phone: (707) 426-3911
Fax: (707) 434-2043
Mailing address: 10470 Old Placerville Rd #100, Sacramento, CA 95827-2539

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence G63205 (CA)

Other Urology providers in California →

Registry record

NPI: 1003996950
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 26 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.