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NPI Code Detail

MEDICARE: DR. MATTHEW DAVID SUSKIN MD

MEDICARE: DR. MATTHEW DAVID SUSKIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician43281CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2018151OTHERCOKAISER COMMERCIAL NUMBER

General Provider Information

NPI Number : 1023093440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW DAVID SUSKIN MD
Provider Business Mailing Address
First Line : 1375 E 20TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80205-5422
Country : US
Telephone Number : 303-338-4545
Fax Number :
Provider Business Practice Location Address
First Line : 1375 E 20TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80205-5422
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 03/31/2015

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