Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | G78246 | CA |
NPI | 1093857930 |
---|---|
Provider Name | Dr. Susan Ruth Hintz |
First Address | Palo Alto, CA 94304-1507 |
Second Address | Palo Alto, CA 94304-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G96672 | (02) | CA |