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Individual
DR. SUSAN D WOLFSTHAL
Active
Individual
DR. SUSAN D WOLFSTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D25575
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335961100
—
MD
01
—
523974-02
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
06/12/2006
Last updated
08/21/2014
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