MARK D SUSKI MD A PROFESSIONAL CORPORATION NPI 1669542080

NPI Information

MARK D SUSKI MD A PROFESSIONAL CORPORATION is a plastic and reconstructive surgery surgery in Thousand Oaks, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. MARK D SUSKI MD A PROFESSIONAL CORPORATION NPI is 1669542080. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2220 LYNN RD
SUITE 102
THOUSAND OAKS, CA
ZIP 91360-904
Phone: (805) 494-3330
Fax: (805) 494-1255

The provider's authorized official is Mark D Suski .
The authorized official title is President and has the following contact phone number (805) 494-3330.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 11/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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