Individual
DR. JASON W. SUSZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Mailing address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD-19180
HI
207N00000X
Dermatology Physician
MD176186
OR
207ND0900X
Dermatopathology Physician
15757
NV
Other
Enumeration date
03/23/2011
Last updated
05/27/2021
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