Individual
DR. MOHAMAD MAHER SUEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
272 MAIN ST, MANCHESTER, CT 06042-3536
(860) 432-2100
(860) 432-5330
Mailing address
272 MAIN ST, MANCHESTER, CT 06042-3536
(860) 432-2100
(860) 432-5330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036834
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00136834000
—
CT
01
—
010036834CT01
ANTHEM BLUE CROSS/BLUE SH
CT
01
—
036834
CONNECTICARE
CT
01
—
2V6079
OXFORD
CT
Enumeration date
07/07/2006
Last updated
08/07/2013
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