Individual
DR. SUSAN KOSNIK ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 BROWN ST STE 320, CHESTERTOWN, MD 21620
(410) 778-1878
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0017036
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101167
MAMSI
—
05
—
252111300
—
MD
01
—
27341
COVENTRY
DE
01
—
30837
JOHNS HOPKINS
—
01
—
7195SK
CARE FIRST
MD
01
—
T0040001
CARE FIRST
DC
Enumeration date
05/27/2005
Last updated
05/03/2024
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