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Individual

DR. SUSAN ROSEANNE PANNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
201 W PRESTON ST, SUITE 424, BALTIMORE, MD 21201-2301
(410) 767-6730
(410) 333-5047
Mailing address
400 SYMPHONY CIRCLE, # 425, HUNT VALLEY, MD 21030-2054
(410) 329-1995
(410) 329-1995

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
D0026746
MD
208000000X
Pediatrics Physician
D0026746
MD

Other

Enumeration date
07/28/2009
Last updated
07/28/2009
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