Active NPIIndividual provider

Susana D Collazo, MD

Emergency Medicine, Pediatric Emergency Medicine in Camden, New Jersey

NPI Number1578060281
Practice location
1 Cooper Plz, Camden, NJ 08103-1461
Fax
—
Last updated
September 30, 2024

Susana Doris Collazo is an Emergency Medicine, Pediatric Emergency Medicine based in Camden, NJ. Susana Doris Collazo practices in Camden, NJ and has the professional credentials of MD. The NPI Number for Susana Doris Collazo is 1578060281 and holds a License No. 69287 (CT). The current practice location address for Susana Doris Collazo is 1 Cooper Plz, Camden, NJ 08103-1461 and can be reached out via phone at 856-342-2002.

Provider Profile Details

NPI Number
1578060281
Provider Name
Susana Doris Collazo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Cooper Plz, Camden, NJ 08103-1461
Phone Number
856-342-2002
Sole Proprietor
No
Provider Enumeration Date
April 9, 2018
Last Update Date
September 30, 2024
Certification Date
September 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Cooper Plz
Camden, NJ 08103-1461
City
Camden
Zip
08103-1461
Phone Number
856-342-2002
Camden, NJ 08103Get directions →

Provider Business Mailing Address Details

Address
1 Federal St Ste 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
848-288-6935
Fax Number
732-790-0107

License Information

License Number (1)
69287
License State (1)
CT
License Number (2)
25MA12300000
License State (2)
NJ
Taxonomy (2)
Emergency Medicine, Pediatric Emergency Medicine · 207PP0204X · Primary
License Number (3)
69287
License State (3)
CT
Taxonomy (3)
Pediatrics · 208000000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susana D Collazo, MD?

The NPI number of Susana D Collazo, MD is 1578060281. It was assigned on April 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Susana D Collazo, MD?

Susana D Collazo, MD is registered under the primary taxonomy Emergency Medicine, Pediatric Emergency Medicine (code 207PP0204X), licensed in CT under license number 69287.

Where does Susana D Collazo, MD practice?

The practice location is 1 Cooper Plz, Camden, NJ 08103-1461. The office can be reached at 856-342-2002 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578060281 directly on the NPPES registry website.

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