Individual
DR. SUSAN A DEMUTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2480 LLEWELLYN AVE, FT MEADE, MD 20755-5800
(301) 677-8641
(301) 677-8485
Mailing address
KIMBROUGH AMBULATORY CARE CENTER, ATTN: MCXR-CR 2480 LLEWELLYN AVE., FT. MEADE, MD 20755
(301) 677-8270
(301) 677-8176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101037909
VA
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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