Provider Demographics
NPI:1720304595
Name:NOGAMI, SUZANNE SAKAYE (MD)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:SAKAYE
Last Name:NOGAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 22581
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2581
Mailing Address - Country:US
Mailing Address - Phone:610-482-4795
Mailing Address - Fax:856-528-3117
Practice Address - Street 1:100 E LANCASTER AVE STE 433W
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3442
Practice Address - Country:US
Practice Address - Phone:610-896-8840
Practice Address - Fax:610-642-5148
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT188755207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1720304595OtherNPI