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Organization
SUSAN B. BRINKLEY, LLC
Active
Organization
SUSAN B. BRINKLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN BARNETT BRINKLEY MD (OWNER)
(301) 668-2800
Entity
Organization
Contact information
Practice address
198 THOMAS JOHNSON DR, SUITE 200, FREDERICK, MD 21702-4398
(301) 668-2800
(301) 668-0611
Mailing address
198 THOMAS JOHNSON DR, SUITE 200, FREDERICK, MD 21702-4398
(301) 668-2800
(301) 668-0611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0043389
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4289284
AETNA
MD
01
—
69020000001B12
MD BCBS
MD
01
—
S3740001
DC BCBS
MD
Enumeration date
09/05/2007
Last updated
09/05/2007
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