Organization
EWA A. SUSFAL, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EWA ANNA SUSFAL M.D. (PRESIDENT)
(828) 349-6860
Entity
Organization
Contact information
Practice address
55 MEDICAL PARK DR, STE 118, FRANKLIN, NC 28734-2635
(828) 349-6860
(828) 349-6865
Mailing address
55 MEDICAL PARK DR, STE 118, FRANKLIN, NC 28734-2635
(828) 349-6860
(828) 349-6865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200400983
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137VF
BCBS
NC
05
—
89137VF
—
NC
01
—
DC6876
MEDICARE RAILROAD
NC
Enumeration date
10/18/2007
Last updated
05/22/2008
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