Stacy Jennifer Suskauer in Baltimore - Pediatric Rehabilitation Medicine
Stacy Jennifer Suskauer - NPI 1528193091
Stacy Jennifer Suskauer is a Pediatric Rehabilitation Medicine in Baltimore, Maryland. Stacy Jennifer Suskauer practices all healthcare services and medical treatments related to Pediatric Rehabilitation Medicine. The NPI Number for Stacy Jennifer Suskauer is 1528193091. The last update date is 2007-10-10.
Stacy Jennifer Suskauer's current location address is 707 N Broadway, Baltimore, Maryland. You can contact this provider via phone number 4439239440 and fax number 4439239445. The mailing address for Stacy Jennifer Suskauer is 707 N Broadway, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Jennifer Suskauer |
|---|---|
| Address | 707 N Broadway, Baltimore, Maryland |
| Phone Number | 4439239440 |
| Fax Number | 4439239445 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528193091 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 707 N Broadway |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212051832 |
| Phone Number | 4439239440 |
| Fax Number | 4439239445 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Rehabilitation Medicine |
|---|---|
| Taxonomy | 2081P0010X |
| Licence No | D0063167 |
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Definition: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosoci |
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What is the Stacy Jennifer Suskauer's 1528193091?
The Stacy Jennifer Suskauer's NPI (National Provider Identifier) Number is 1528193091. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stacy Jennifer Suskauer?
The Stacy Jennifer Suskauer is physically situated at 707 N Broadway, in the city of Baltimore, state of MD, with the postal code 212051832.
What is Stacy Jennifer Suskauer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Jennifer Suskauer's specialized field of practice is Pediatric Rehabilitation Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2081P0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528193091 to Stacy Jennifer Suskauer?
The Stacy Jennifer Suskauer received its 1528193091 assignment from the Centers for Medicare & Medicaid Services on 2007-02-23.
As of what date were the Stacy Jennifer Suskauer's details last updated?
The information pertaining to the Stacy Jennifer Suskauer, including its address, specialty, and other details, was most recently updated on 2007-10-10.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA