Individual
DR. SUSAN J BERSOFF-MATCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 W PENNSYLVANIA AVE, WEST END MEDICAL CENTER, WASHINGTON, DC 20037-4236
(202) 872-7232
(202) 872-7212
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D54654
MD
207RI0200X
Infectious Disease Physician
0101221439
VA
207RI0200X
Infectious Disease Physician
Primary
MD31578
DC
Other
Enumeration date
12/04/2006
Last updated
10/14/2009
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