Individual
SUSAN N AU
Active
Individual
SUSAN N AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD023010E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008440360008
—
PA
01
—
260031933
RAILROAD MEDICARE
PA
01
—
830401
PENNSYLVANIA BLUE SHIELD
PA
Enumeration date
09/24/2006
Last updated
01/15/2010
Update your record
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