Individual
SUSAN R STOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
694 GOOD DR, SUITE 11, LANCASTER, PA 17601-2433
(717) 544-3737
(717) 544-3739
Mailing address
694 GOOD DR, SUITE 11, LANCASTER, PA 17601-2433
(717) 544-3737
(717) 544-3739
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD060560L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1513423
GATEWAY
PA
01
—
158150
BLUE SHIELD
PA
01
—
160048491
RRMCR
PA
01
—
172516
THREE RIVERS
PA
05
—
17271410007
—
PA
01
—
50051205
CAPITAL BLUE CROSS
PA
01
—
5220006
USH/HMO
PA
01
—
5220706
AETNA
PA
Enumeration date
08/31/2006
Last updated
02/06/2017
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