Individual
MR. JOSEPH FRANK SUSCO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-5000
Mailing address
9910 FRANKLIN SQUARE DRIVE, 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R191406
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110964200
—
MD
Enumeration date
12/23/2015
Last updated
05/25/2017
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