Individual
MS. SUSAN YESAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA RD LDN CDE
Contact information
Practice address
4940 EASTERN AVE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, BALTIMORE, MD 21224-2735
(410) 550-4431
(410) 550-0650
Mailing address
4940 EASTERN AVE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER, BALTIMORE, MD 21224-2735
(410) 550-4431
(410) 550-0650
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D01131
MD
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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