Individual
SUSAN SAFERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4178 HIGHBRIDGE RD, GEORGIA, VT 05454-5446
(802) 524-9595
(802) 524-2867
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-8952
(802) 524-7021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420006763
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005164
—
VT
01
—
080176412
RAIL ROAD MEDICARE
VT
Enumeration date
05/09/2006
Last updated
11/15/2010
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