Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD442717 | PA |
N | 207ND0101X | MOHS-Micrographic Surgeon | MD442717 | PA |
NPI | 1215238159 |
---|---|
Provider Name | Dr. Mark F Suchter |
First Address | Scranton, PA 18503-1549 |
Second Address | Scranton, PA 18503-1549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2010 |
Last Update Date | 23/02/2015 |