Gallardo, Susan D

Gallardo, Susan D is an individual health care provider with primary practice located at 900 Walnut Street Thomas Jefferson University Physicians Suite 200, Philadelphia PA 19107. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gallardo, Susan D can be contacted via phone (215) 955-6939.

Contact Information

Primary practice address
900 Walnut Street Thomas Jefferson University Physicians Suite 200 Philadelphia PA 19107
Phone: (215) 955-6939
Fax: (215) 503-2990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X SP010847 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP010847 Pennsylvania

Profile Details

NPI number 1154621449
LBN Legal business name Gallardo, Susan D
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2010
Last updated Apr 14th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154621449 NPPES
Pennsylvania MEDICAID 102886280

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