Individual
SUSAN GOODLERNER
Active
Individual
SUSAN GOODLERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G44627
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G44627
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
G44627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G446270
—
CA
Enumeration date
01/26/2007
Last updated
11/27/2024
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