Individual
MRS. SUSAN M TANDLMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5000 W TILGHMAN ST, STE 240, ALLENTOWN, PA 18104-9109
(610) 395-4044
(610) 395-5693
Mailing address
5000 W TILGHMAN ST, STE 240, ALLENTOWN, PA 18104-9109
(610) 395-4044
(610) 395-5693
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN241571L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001899709
—
PA
Enumeration date
11/18/2005
Last updated
06/23/2010
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