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Individual

SUSAN M ALLIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
20680 SENECA MEADOWS PKWY STE 200, GERMANTOWN, MD 20876-7029
(301) 701-6900
(703) 742-9081
Mailing address
9407 CHADBURN PL, MONTGOMERY VILLAGE, MD 20886-4031
(240) 620-3303

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R065088
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190631300
MD
01
KBC1CH
CAREFIRST BCBS
MD
01
S417 0019
CAREFIRST BCBS
DC
Enumeration date
12/01/2005
Last updated
03/07/2025
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