Individual
SUSAN FERENZ
Active
Individual
SUSAN FERENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0001670
MD
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD1255
MEDICARE RAILROAD GROUP
MD
01
—
P00211633
MEDICARE RAILROAD
MD
Enumeration date
07/27/2006
Last updated
12/05/2023
Update your record
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