Individual
DR. SUE BERUTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6635 HALITE PL, CARLSBAD, CA 92009-1738
(310) 922-8779
Mailing address
6635 HALITE PL, CARLSBAD, CA 92009-1738
(310) 922-8779
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
A90893
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A90893
CA
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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