Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D68313 | MD |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101246103 | VA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | D0068313 | MD |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME100003 | FL |
NPI | 1982677332 |
---|---|
Provider Name | Dr. Suzanne Jaffe Walters |
First Address | Bethesda, MD 20817-1184 |
Second Address | Bethesda, MD 20817-1184 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 29/12/2021 |