Individual
KERRI H SUISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8900
(301) 570-8574
Mailing address
20010 CENTURY BLVD, SUITE 200, GERMANTOWN, MD 20874-1115
(240) 686-2300
(240) 686-2330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0060777
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405256100
—
MD
01
—
9959
CAREFIRST
—
Enumeration date
10/17/2005
Last updated
05/06/2010
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