Organization
SUSAN MARSHALL, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARSHALL MD (OWNER)
(212) 222-1722
Entity
Organization
Contact information
Practice address
415 CENTRAL PARK WEST, 1AF, NEW YORK, NY 10025
(212) 222-1722
(212) 795-6320
Mailing address
15818 RIVERSIDE DRIVE WEST, 5M, NEW YORK, NY 10032-1031
(212) 222-1722
(212) 795-6320
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
184015
NY
207RN0300X
Nephrology Physician
25MA06631200
NJ
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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