Individual
SUSAN SUGARMAN KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7011 FAYETTEVILLE RD STE 210, DURHAM, NC 27713-7745
(919) 806-3335
(919) 215-2381
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
210071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210071
TUFTS HEALTH PLAN
MA
05
—
5908794
—
NC
01
—
J24932
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/06/2006
Last updated
05/10/2021
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