| Susquehanna Ob-gyn Llc | |
|
520 Upper Chesapeake Dr Bel Air MD 21014-4339 | |
| (443) 643-4300 | |
| Not Available |
| Full Name | Susquehanna Ob-gyn Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 520 Upper Chesapeake Dr, Bel Air, Maryland |
| Authorized Official Name and Position | Victoria Dodson (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4433980189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Ob-gyn Llc 308 N Union Ave Havre De Grace MD 21078-2825 Ph: (410) 939-3121 | Susquehanna Ob-gyn Llc 520 Upper Chesapeake Dr Bel Air MD 21014-4339 Ph: (443) 643-4300 |
| NPI Number | 1770272668 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770272668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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