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NPI Code Detail

MEDICARE: MARIO SZUCHMAN M.D.

MEDICARE: MARIO SZUCHMAN M.D.
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
1208000000XPediatrics PhysicianMA41449NJ

General Provider Information

NPI Number : 1144221573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO SZUCHMAN M.D.
Provider Business Mailing Address
First Line : 1177 BROAD ST
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-2951
Country : US
Telephone Number : 973-893-1177
Fax Number : 973-893-0698
Provider Business Practice Location Address
First Line : 17 S WARREN ST
Second Line :
City : DOVER
State : NJ
Zip : 07801-4506
Country : US
Telephone Number : 973-328-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/08/2012

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Directions to “ MARIO SZUCHMAN M.D.” Practice Location

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