Provider Demographics
NPI:1801827159
Name:SUCHESKI, BRIAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:M
Last Name:SUCHESKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:700 HORIZON DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3963
Mailing Address - Country:US
Mailing Address - Phone:215-997-2015
Mailing Address - Fax:215-997-8350
Practice Address - Street 1:700 HORIZON DR
Practice Address - Street 2:SUITE 204
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3963
Practice Address - Country:US
Practice Address - Phone:215-997-2015
Practice Address - Fax:215-997-8350
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD066702L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA026522QVLMedicare ID - Type Unspecified
G91237Medicare UPIN