Individual
DR. SUSANNE NG GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
0101049252
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101049252
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139178
BCBS
VA
01
—
300131038
RR MEDICARE
VA
01
—
52735
OPTIMA
VA
05
—
7241194
—
VA
05
—
89065HK
—
NC
Enumeration date
12/07/2005
Last updated
02/07/2014
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