Federoff, Susan T
Federoff, Susan T is an individual health care provider with primary practice located at 1500 Village Run Rd Suite 308, Wexford PA 15090-6316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Federoff, Susan T can be contacted via phone (724) 934-1900.Contact Information
Primary practice address
1500 Village Run Rd Suite 308
Wexford PA 15090-6316
Phone: (724) 934-1900
Fax: (724) 934-3388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD045519E | Pennsylvania |
Profile Details
| NPI number | 1083683213 |
|---|---|
| LBN Legal business name | Federoff, Susan T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jul 25th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083683213 | NPPES |
| Pennsylvania | MEDICAID | 001746773 |
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