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NPI Code Detail

MEDICARE: SUSAN D VASKO MD

MEDICARE: SUSAN D VASKO 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
1208200000XPlastic Surgery Physician3500056166OH

General Provider Information

NPI Number : 1316938251
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN D VASKO MD
Provider Business Mailing Address
First Line : 5005 ARLINGTON CENTRE BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2912
Country : US
Telephone Number : 614-246-6900
Fax Number : 614-246-6909
Provider Business Practice Location Address
First Line : 5005 ARLINGTON CENTRE BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2912
Country : US
Telephone Number : 614-246-6900
Fax Number : 614-246-6909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 03/17/2018

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Directions to “ SUSAN D VASKO MD” Practice Location

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