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General NPI Number Information
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NPI Number | 1184686933
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Entity Type | Individual
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Provider Name | BRYAN THOMAS SUCHECKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 8 TOPPANS LN
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3816
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Country | US
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Telephone | 833-228-6889
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Fax |
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Provider Business Mailing Address
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Address Line | 8 TOPPANS LN
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3816
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Country | US
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Telephone | 860-502-5679
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 226012
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 226012
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD-53590
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MC-249
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License Number State | GU
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD-53590
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License Number State | IA
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