Provider Demographics
NPI:1437212313
Name:HALL, SUZEL S (MD)
Entity Type:Individual
Prefix:
First Name:SUZEL
Middle Name:S
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9420 KEY WEST AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3334
Mailing Address - Country:US
Mailing Address - Phone:301-315-2111
Mailing Address - Fax:301-315-5866
Practice Address - Street 1:9420 KEY WEST AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3334
Practice Address - Country:US
Practice Address - Phone:301-315-2111
Practice Address - Fax:301-315-5866
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS9406307207Y00000X
TXN5401207Y00000X
MDD0072809207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology