Martin, Suzanna E.

Martin, Suzanna E. is an individual health care provider with primary practice located at 9901 Medical Center Dr Shady Grove Adventist Hospital, Rockville MD 20850-3357. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Martin, Suzanna E. can be contacted via phone (240) 826-6610.

Contact Information

Primary practice address
9901 Medical Center Dr Shady Grove Adventist Hospital Rockville MD 20850-3357
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0073822 Maryland
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X D0073822 Maryland

Profile Details

NPI number 1841496064
LBN Legal business name Martin, Suzanna E.
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Jun 3rd, 2022 - about 2 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 1841496064 NPPES
North Carolina Other 14830 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 5909423 BLUE CROSS BLUE SHIELD

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