Organization
SUSQUEHANNA OB-GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DODSON (CREDENTIALING MANAGER)
(443) 398-0189
Entity
Organization
Contact information
Practice address
308 N UNION AVE, HAVRE DE GRACE, MD 21078-2825
(410) 939-3121
(443) 643-4303
Mailing address
520 UPPER CHESAPEAKE DR STE 301, BEL AIR, MD 21014-4375
(410) 939-3121
(443) 643-4303
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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