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NPI Code Detail

MEDICARE: JOAN SUSZKO M.D.

MEDICARE:   JOAN  SUSZKO  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
1390200000XStudent in an Organized Health Care Education/Training Program
22084P0800XPsychiatry PhysicianP5138TX

General Provider Information

NPI Number : 1467785089
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN SUSZKO M.D.
Provider Business Mailing Address
First Line : 8787 BROOKPARK RD
Second Line :
City : PARMA
State : OH
Zip : 44129-6809
Country : US
Telephone Number : 162-739-7000
Fax Number : 216-229-2582
Provider Business Practice Location Address
First Line : 8787 BROOKPARK RD
Second Line :
City : PARMA
State : OH
Zip : 44129-6809
Country : US
Telephone Number : 162-739-7000
Fax Number : 216-229-3582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2009
Last Update Date : 09/13/2023

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Directions to “ JOAN SUSZKO M.D.” Practice Location

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