NPI 1003685983

Susan Maureen Dubendorfer, PAC

Practitioner Medical Physician Assistant Philadelphia, PA

Practice location

Address: 130 S 9th St, Philadelphia, PA 19107-5233
Phone: (215) 206-9392

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence MA002833L (PA)

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Registry record

NPI: 1003685983
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2023
Record last updated: 20 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.