Individual
SUSAN M WOMELDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13424 PA AVE, MERRITUS URGENT CARE, HAGERSTOWN, MD 21742-2658
(240) 313-3100
(210) 313-3101
Mailing address
11110 MEDICAL CAMPUS RD STE 147, HAGERSTOWN, MD 21742-6755
(240) 313-9100
(240) 313-9601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21508
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003919
—
WV
05
—
409353401
—
MD
05
—
451601000
—
MD
01
—
P00418711
RAILROAD
MD
Enumeration date
11/14/2006
Last updated
12/23/2013
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