Individual
DR. SUSANNE BATHGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, MEDICAL FACULTY ASSOCIATES INC, WASHINGTON, DC 20037
(202) 741-2500
(202) 741-2550
Mailing address
2150 PENNSYLVANIA AVE NW, STE 10-409A, WASHINGTON, DC 20037
(202) 741-3398
(202) 741-3396
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD17832
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006204945
—
VA
05
—
028426400
—
DC
05
—
063371200
—
MD
Enumeration date
02/09/2006
Last updated
06/22/2012
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