Individual
SUSAN BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 1ST AVE # HCC6C, DEPARTMENT OF SURGERY, NEW YORK, NY 10016-6402
(212) 263-7302
Mailing address
530 1ST AVE # HCC 6C, DEPARTMENT OF SURGERY, NEW YORK, NY 10016-6402
(212) 263-7302
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A52714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A527140
—
CA
Enumeration date
10/24/2006
Last updated
12/23/2011
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