Individual
SUSAN DUNPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
13805 WEST HATTON PLACE, NEWBURG, MD 20664
(301) 717-9146
Mailing address
PO BOX 12, MOUNT VICTORIA, MD 20661-0012
(301) 717-9146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000812
MD
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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