Individual
SUZANNE CARDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
20940 FREDERICK RD, GERMANTOWN, MD 20876-4103
(240) 361-9600
(240) 361-9605
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0983
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA983
MD LICENSE
MD
Enumeration date
11/17/2015
Last updated
01/29/2018
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