Provider Demographics
NPI:1326132150
Name:SUCHIN, KAREN REBECCA (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:REBECCA
Last Name:SUCHIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 KINGS HWY W
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2111
Mailing Address - Country:US
Mailing Address - Phone:856-795-1341
Mailing Address - Fax:215-795-5034
Practice Address - Street 1:24 KINGS HWY W
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2111
Practice Address - Country:US
Practice Address - Phone:856-795-1341
Practice Address - Fax:856-795-5034
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD069246L207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2090438000OtherINDEPENDENCE BL CROSS
PA1401877OtherPA BLUE SHIELD
PA068589Medicare ID - Type Unspecified
PA2090438000OtherINDEPENDENCE BL CROSS