Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD043442L | PA |
NPI | 1104977982 |
---|---|
Provider Name | Dr. Susan Hoch |
First Address | Haddonfield, NJ 08033-1072 |
Second Address | Chester, PA 19013-3955 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D82835 | (02) | PA |