Individual
SUSAN O'DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 IRVING ST NW, SUITE 2A38, WASHINGTON, DC 20010-2976
(202) 877-2848
(202) 877-6292
Mailing address
110 IRVING ST NW, SUITE 2A38, WASHINGTON, DC 20010-2976
(202) 877-2848
(202) 877-6292
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
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