Individual
SUSAN M STASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(301) 946-5100
(301) 929-0348
Mailing address
11510 GEORGIA AVE, SUITE 206, WHEATON, MD 20902-1925
(301) 946-5100
(301) 929-0348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD19725
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057
CAREFIRST BCBS
DC
01
—
102696
KAISER
DC
01
—
2494486
AETNA HMO
DC
01
—
4296001
AETNA NON HMO
DC
01
—
441061
ANTHEM BCBS
VA
01
—
501354
NCPPO
DC
01
—
5261427
CCN NETWORK
DC
05
—
5705282
—
VA
Enumeration date
07/25/2006
Last updated
07/09/2007
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