Individual
DANIELLE A SUZENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 349-8310
(215) 724-3560
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 349-8310
(215) 724-3560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061868
PA
Other
Enumeration date
08/21/2018
Last updated
10/19/2020
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