Individual
MARK SUEYOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
042-0017126
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/07/2018
Last updated
03/15/2024
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