Provider Demographics
NPI:1508600545
Name:SUISSA, CHASE AARON
Entity type:Individual
Prefix:
First Name:CHASE
Middle Name:AARON
Last Name:SUISSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12002 CHASE CROSSING CIR APT 203
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4757
Mailing Address - Country:US
Mailing Address - Phone:240-888-4957
Mailing Address - Fax:
Practice Address - Street 1:3140 GRACEFIELD RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-5851
Practice Address - Country:US
Practice Address - Phone:240-888-4957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator