Provider Demographics
NPI:1871724617
Name:SUAREZ, DAVID PETER (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PETER
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BYRNE PL
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-1002
Mailing Address - Country:US
Mailing Address - Phone:855-679-7873
Mailing Address - Fax:855-679-7873
Practice Address - Street 1:1299 MCCARTER HWY STE 1A
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3757
Practice Address - Country:US
Practice Address - Phone:201-537-7599
Practice Address - Fax:201-537-7599
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYAP0771229-851208600000X
NJ25MB09855100208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery