Individual
SUSAN C GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1305 MEDFORD RD, WYNNEWOOD, PA 19096-2418
(215) 482-4827
(215) 482-4828
Mailing address
27 WILTSHIRE RD, WYNNEWOOD, PA 19096-3644
(215) 482-4827
(215) 482-4828
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD024318E
PA
2084P0805X
Geriatric Psychiatry Physician
MD024318E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000774110
—
PA
Enumeration date
08/05/2006
Last updated
11/10/2024
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