Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD17832 | DC |
NPI | 1063485142 |
---|---|
Provider Name | Dr. Susanne Bathgate |
First Address | Washington, DC 20037 |
Second Address | Washington, DC 20037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 22/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006204945 | (05) | VA |
028426400 | (05) | DC |
063371200 | (05) | MD |
F06050 | (02) |