Individual
SUSAN BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE, CHEVY CHASE, MD 20815-4404
(202) 331-3414
Mailing address
7 TOWNSEND ST, MALDEN, MA 02148-6322
(202) 331-3414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49868
MA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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