Provider Demographics
NPI:1457158271
Name:SUH, GERALD
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:
Last Name:SUH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3027 MIA LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-3777
Mailing Address - Country:US
Mailing Address - Phone:443-801-0454
Mailing Address - Fax:
Practice Address - Street 1:3027 MIA LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-3777
Practice Address - Country:US
Practice Address - Phone:443-801-0454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide