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Individual
SUSAN FORT SORDONI
Active
Individual
SUSAN FORT SORDONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD072550L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018304560003
MED PLUS-3 RIVERS-UNASYN
PA
05
—
0018304560003
—
PA
01
—
002782
FIRST PRIORITY HEALTH
PA
01
—
1058606
AETNA MC ADVANTAGE & HMO
PA
01
—
193973
BLUE CROSS-BLUE SHIELD
PA
01
—
20 3165381
GREAT WEST
PA
01
—
203165381
DEVON HEALTH CARE
PA
01
—
60162
GEISINGER
PA
01
—
61056770
DEPT OF LABOR FECA
PA
01
—
7822738
AETNA PPL
PA
Enumeration date
09/29/2005
Last updated
03/07/2023
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