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NPI Code Detail

MEDICARE: MARTA KAROLINA SZYMASZEK-CUSICK M.D.

MEDICARE: MARTA KAROLINA SZYMASZEK-CUSICK 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
2208000000XPediatrics Physician61185AZ

General Provider Information

NPI Number : 1578094603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTA KAROLINA SZYMASZEK-CUSICK M.D.
Provider Business Mailing Address
First Line : 13995 W STATLER BLVD STE 200
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-5503
Country : US
Telephone Number : 623-478-3100
Fax Number : 623-478-3300
Provider Business Practice Location Address
First Line : 13995 W STATLER BLVD STE 200
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-5503
Country : US
Telephone Number : 623-478-3100
Fax Number : 623-478-3300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 03/28/2023

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