Individual
SUSAN O'DONOGHUE
Active
Individual
SUSAN O'DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD17494
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025694300
—
DC
05
—
076541400
—
MD
05
—
6039693
—
VA
Enumeration date
05/24/2006
Last updated
04/06/2017
Update your record
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