Individual
DR. PAUL JACOB SUSCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
850 S VALLEY FORGE RD, LANSDALE, PA 19446-4261
(215) 368-4660
(215) 368-7176
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001503
PA
Other
Enumeration date
01/28/2006
Last updated
03/22/2022
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