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Individual

DR. SUSAN MADONNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
8871 GORMAN RD, SUITE 300, LAUREL, MD 20723-5877
(301) 498-3150
(301) 490-2411
Mailing address
9649 BELAIR RD, SECOND FLOOR, BALTIMORE, MD 21236-1100
(410) 248-2650
(410) 248-2656

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H59597
MD

Other

Enumeration date
12/07/2005
Last updated
02/04/2011
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