Individual
SUZANNE B. CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 FRESNO ST, SUITE 101, FRESNO, CA 93721-1439
(559) 227-4472
(559) 227-4217
Mailing address
66 TOYON LN, SAUSALITO, CA 94965-1826
(415) 332-0588
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
G85862
CA
208000000X
Pediatrics Physician
G85862
CA
208D00000X
General Practice Physician
G85862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G858620
—
CA
Enumeration date
08/28/2006
Last updated
02/24/2011
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