Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 35066613 | OH |
NPI | 1063410496 |
---|---|
Provider Name | Dr. William A Suarez |
First Address | Toledo, OH 43615-4040 |
Second Address | Waterville, OH 43566-8712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 18/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2020459 | (05) | OH |
G53641 | (02) |