Provider Demographics
NPI:1932468063
Name:ZUSSMAN, BENJAMIN M (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:M
Last Name:ZUSSMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2500 HOSPITAL BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4947
Mailing Address - Country:US
Mailing Address - Phone:770-664-9600
Mailing Address - Fax:770-664-9856
Practice Address - Street 1:2500 HOSPITAL BLVD STE 310
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4947
Practice Address - Country:US
Practice Address - Phone:770-664-9600
Practice Address - Fax:770-664-9856
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2020-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA85317207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery