Individual
CLAUDIA E. SUSSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-0000
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101049316
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6707831
—
VA
Enumeration date
10/31/2005
Last updated
08/21/2019
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