Individual
DR. BENJAMIN MARK SUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 N FRANKLIN DR STE 1, WASHINGTON, PA 15301-5892
(724) 225-6500
(724) 229-2170
Mailing address
125 N FRANKLIN DR STE 1, WASHINGTON, PA 15301-5892
(724) 225-6500
(724) 229-2170
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD445023
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103045
—
OH
05
—
1029181870001
—
PA
05
—
3810019029
—
WV
05
—
5914761
—
NC
Enumeration date
11/04/2007
Last updated
07/21/2022
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