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Organization
SUSAN V. ESTRADA, MD, PC
Active
Organization
SUSAN V. ESTRADA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN VICTORIA ESTRADA-TE (ADMINISTRATOR)
(724) 347-0861
Entity
Organization
Contact information
Practice address
239 EDGEWOOD DRIVE EXTENSION, TRANSFER, PA 16154
(724) 646-0400
Mailing address
13 STONEY BROOK BLVD, GREENVILLE, PA 16125-7803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 062293 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016769370007
—
PA
Enumeration date
02/23/2007
Last updated
11/19/2007
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