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Individual

DR. LEWIS SUSKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
DEPT. 6029, WASHINGTON, DC 20042-0001
(703) 642-5990
(703) 642-5003
Mailing address
5510 ALMA LN, SPRINGFIELD, VA 22151-4012
(703) 642-5990
(703) 642-5003

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101026006
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0400439
UNITED HEALTHCARE - VA
01
0403505
UNITED HEALTHCARE - MIDAT
01
144512
ONE HEALTH PLAN/GREAT WST
01
224016
ANTHEM/TRIGON
01
257638
ALLIANCE/MAMSI
01
4092115
AETNA PPO
01
4556-0008
CAREFIRST BCBS
01
461901
AETNA HMO
01
5325453-026
CIGNA
01
723588
FIRST HEALTH/AFFORDABLE
01
P10011
NCPPO
Enumeration date
07/07/2005
Last updated
10/18/2007
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