Basic Information
Provider Information
NPI: 1447998851
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SUZUKI
FirstName: YUKIKO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1200 OLD YORK ROAD
Address2: ABINGTON MEMORIAL HOSPITAL GME OFFICE
City: ABINGTON
State: PA
PostalCode: 190013788
CountryCode: US
TelephoneNumber: 2154812606
FaxNumber: 2154813485
Practice Location
Address1: 1200 OLD YORK ROAD
Address2: ABINGTON MEMORIAL HOSPITAL GME OFFICE
City: ABINGTON
State: PA
PostalCode: 190013788
CountryCode: US
TelephoneNumber: 2154812606
FaxNumber: 2154813788
Other Information
ProviderEnumerationDate: 05/25/2022
LastUpdateDate: 05/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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