# SUSQUEHANNA OB-GYN LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1104818871
- **Authorized official:** VICTORIA DODSON (CREDENTIALING MANAGER)
- **Authorized official phone:** (443) 398-0189

## Contact information

- **Practice address:** 520 UPPER CHESAPEAKE DR, SUITE 301, BEL AIR, MD 21014-4339
- **Practice address phone:** (410) 939-3121
- **Practice address fax:** (443) 643-4303
- **Mailing address:** 520 UPPER CHESAPEAKE DR, SUITE 301, BEL AIR, MD 21014-4339
- **Mailing address phone:** (443) 643-4300
- **Mailing address fax:** (443) 643-4303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | D0033079 | MD | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 01/27/2025