Individual
SUSAN B CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5190
(215) 427-5351
Mailing address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5190
(215) 427-5351
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
25MA07963200
NJ
2080P0210X
Pediatric Nephrology Physician
Primary
MD063184L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016642200003
—
PA
01
—
2748937000
AMERIHEALTH KEYSTONE
—
01
—
60025871
HORIZON NJ HEALTH
NJ
05
—
7527608
—
NJ
Enumeration date
07/19/2006
Last updated
06/18/2008
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