NPI 1578060281 · live from the CMS NPI Registry
Susana Doris Collazo, MD
Emergency Medicine, Pediatric Emergency Medicine in Camden, NJ. National Provider Identifier 1578060281, active.
NPI record
| NPI | 1578060281 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine, Pediatric Emergency Medicine 207PP0204X |
| Practice location | 1 Cooper Plz, Camden, NJ 08103 |
| Practice phone | 856-342-2002 |
| Mailing address | 1 Federal St Ste 200, Camden, NJ 08103 |
| Enumerated | April 9, 2018 |
| Last updated | September 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 69287 (CT) |
| Emergency Medicine, Pediatric Emergency Medicine primary | 207PP0204X | 25MA12300000 (NJ) |
| Pediatrics | 208000000X | 69287 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.