Individual
DR. SUSAN ELIZABETH DEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 N WASHINGTON ST, FALLS CHURCH, VA 22046-4518
(703) 237-4020
(703) 536-1395
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057463
VA
Other
Enumeration date
01/10/2007
Last updated
02/08/2022
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