Provider Demographics
NPI:1144268202
Name:SUAREZ, MARY CHRISTINE (MD)
Entity type:Individual
Prefix:DR
First Name:MARY CHRISTINE
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2577 SAMARITAN DR
Mailing Address - Street 2:810
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4100
Mailing Address - Country:US
Mailing Address - Phone:408-358-1888
Mailing Address - Fax:408-356-0877
Practice Address - Street 1:2577 SAMARITAN DR
Practice Address - Street 2:810
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4100
Practice Address - Country:US
Practice Address - Phone:408-358-1888
Practice Address - Fax:408-356-0877
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG65698207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F12623Medicare UPIN
CAZZZ75145ZMedicare ID - Type Unspecified