Gregory, Susan A

Gregory, Susan A is an individual health care provider with primary practice located at 100 E Lancaster Ave Suite 230, Wynnewood PA 19096-3450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Gregory, Susan A can be contacted via phone (610) 642-3796.

Contact Information

Primary practice address
100 E Lancaster Ave Suite 230 Wynnewood PA 19096-3450
Phone: (610) 642-3796
Fax: (610) 642-2943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD040283E Pennsylvania

Profile Details

NPI number 1619913308
LBN Legal business name Gregory, Susan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1619913308 NPPES
Pennsylvania MEDICAID 00111404540004

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