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Individual
DR. SUZANNE M CACCAMESE
Active
Individual
DR. SUZANNE M CACCAMESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D56156
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517300100
—
MD
01
—
KJ15GB/606329-04
CAREFIRST MARYLAND
MD
01
—
S1380080
CAREFIRST REGIONAL
MD
Enumeration date
05/26/2006
Last updated
09/09/2011
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