IndividualActive
Gregory Suslow, M.D.
NPI 1417962176 · Clinical Pathology/Laboratory Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1417962176
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD-050303-L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-4353
Fax: (215) 707-2781
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 447
Du Bois, PA 15801-0447
Additional practice locations (1)
- 100 Hospital AveDu Bois, PA 15801-1440Phone: (814) 371-2200Fax: (814) 375-4232
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2020-08-20
- Certified
- 2020-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.