Provider Demographics
NPI:1376744342
Name:JADICO, SUZANNE KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:KAY
Last Name:JADICO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:324 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1436
Mailing Address - Country:US
Mailing Address - Phone:215-510-6742
Mailing Address - Fax:
Practice Address - Street 1:419 N HARRISON ST
Practice Address - Street 2:SUITE 104
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3521
Practice Address - Country:US
Practice Address - Phone:609-921-9437
Practice Address - Fax:609-921-0277
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2010-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08444400207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology