Individual
DR. SUSAN RENEE CLANZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1804 W NORTH AVE, BALTIMORE, MD 21217-1621
(410) 685-6331
(410) 685-6332
Mailing address
1804 W NORTH AVE, BALTIMORE, MD 21217-1621
(410) 685-6331
(410) 685-6332
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0060902
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3364208 00
—
MD
Enumeration date
02/09/2006
Last updated
12/10/2025
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