Organization
SUSANNE WOODLAN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANNE T WOODLAN MD (PHYSICIAN)
(301) 774-6500
Entity
Organization
Contact information
Practice address
18111 PRINCE PHILIP DR, SUITE 111, OLNEY, MD 20832-1513
(301) 774-6500
(301) 774-5461
Mailing address
18111 PRINCE PHILIP DR, SUITE 111, OLNEY, MD 20832-1513
(301) 774-6500
(301) 774-5461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0050262
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278800400
—
MD
Enumeration date
12/07/2007
Last updated
12/07/2007
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