Provider Demographics
NPI:1528027554
Name:PESCE, SUZANNE JENNIFER (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:JENNIFER
Last Name:PESCE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:525 JAMESTOWN ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-1751
Mailing Address - Country:US
Mailing Address - Phone:215-483-8444
Mailing Address - Fax:215-482-8456
Practice Address - Street 1:525 JAMESTOWN ST
Practice Address - Street 2:SUITE 207
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-1751
Practice Address - Country:US
Practice Address - Phone:215-483-8444
Practice Address - Fax:215-482-8456
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2009-01-20
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Provider Licenses
StateLicense IDTaxonomies
PAMD432788207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology