SAMUEL SUSLAVICH
NPI 1922855832
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 30, 2024
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS, PHILADELPHIA, PA 19104(215) 573-2588 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samuel Suslavich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL SUSLAVICH (NPI 1922855832) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1922855832
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL SUSLAVICH
Location Address240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANSPhiladelphia, PA 19104
Mailing Address240 South 40th Street, Office Of Clinical Affairs-s6a EvansPhiladelphia, PA 19104 · (215) 573-2588
Sole ProprietorYes
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
NPI 1922855832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

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.

240 SOUTH 40TH STREET, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
240 SOUTH 40TH STREET, SCHATTNER BUILDING # 350
PHILADELPHIA, PA 19104
Dentist (Pediatric Dentistry)
240 SOUTH 40TH STREET, UPENN DEPARTMENT OF DENTISTRY
PHILADELPHIA, PA 19104
Dentist (General Practice)
240 SOUTH 40TH STREET
PHILADELPHIA, PA 19104
Dentist
240 SOUTH 40TH STREET, ROBERT SCHATTNER CENTER; ROOM 200
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A EVANS
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
240 SOUTH 40TH STREET, OFFICE OF CLINICAL AFFAIRS-S6A, EVANS
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922855832, enumerated as an "individual" on April 30, 2024.

The provider is located at 240 SOUTH 40TH STREET OFFICE OF CLINICAL AFFAIRS-S6A EVANS PHILADELPHIA, PA 19104 and the phone number is (215) 573-2588.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.