Susco, Benjamin Mark

Susco, Benjamin Mark is an individual health care provider with primary practice located at 125 N Franklin Dr Ste 1 , Washington PA 15301-5892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Susco, Benjamin Mark can be contacted via phone (724) 225-6500.

Contact Information

Primary practice address
125 N Franklin Dr Ste 1 Washington PA 15301-5892
Fax: (724) 229-2170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD445023 Pennsylvania

Profile Details

NPI number 1336329671
LBN Legal business name Susco, Benjamin Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336329671 NPPES
North Carolina MEDICAID 5914761
North Carolina MEDICAID 3810019029
North Carolina MEDICAID 0103045
North Carolina MEDICAID 1029181870001

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