Individual
DR. SUSETE CARNEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(201) 317-3485
Mailing address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 213-8241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT202446
PA
Other
Enumeration date
06/26/2012
Last updated
02/08/2022
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