Individual
SUSAN J PROBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 PENN AVE, WEST READING, PA 19611-1006
(610) 376-3700
(610) 685-1567
Mailing address
740 PENN AVE, WEST READING, PA 19611-1006
(610) 376-3700
(610) 685-1567
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD038524L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD038524L
STATE LICENSE
PA
01
—
TAX ID
23-2991405
—
Enumeration date
06/29/2006
Last updated
08/28/2015
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