# SUSAN CANNING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104086289
- **Authorized official:** DR. SUSAN CANNING MD (DERMATOLOGIST)
- **Authorized official phone:** (301) 933-1547

## Contact information

- **Practice address:** 3925 FERRARA DR, SILVER SPRING, MD 20906-4709
- **Practice address phone:** (301) 933-1547
- **Mailing address:** 3925 FERRARA DR, SILVER SPRING, MD 20906-4709
- **Mailing address phone:** (301) 933-1547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D0046170 | MD | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 06/12/2008