Individual
DR. SHARON MATARLO SUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3004 TOWER BLVD, DURHAM, NC 27707-2542
(919) 490-9800
Mailing address
3004 TOWER BLVD, DURHAM, NC 27707-2542
(919) 490-9800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-01127
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008-01127
LIC #
NC
Enumeration date
01/21/2008
Last updated
12/29/2023
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