Individual provider · Type 1 NPI

Steven Suchacz, DO

Student in an Organized Health Care Education/Training Program · Manchester, CT

NPI number 1851034854 Active

Practice location

130 Hartford Rd
Manchester, CT 06040-5921

Mailing address

71 Haynes St
Manchester, CT 06040-4188

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X207Q00000X (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851034854

Steven Suchacz, DO's National Provider Identifier is 1851034854, issued on Apr 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manchester, CT. The record was last updated on Apr 18, 2022.