Susan Gail Kreissman
Pediatric Hematology-Oncologist
4101 N Roxboro St
Durham
, North Carolina 27704-2121
Susan Gail Kreissman
Pediatric Hematology-Oncologist
4101 N Roxboro St
Durham
, North Carolina 27704-2121
(919) 684-8111
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Susan Gail Kreissman
- 4101 N Roxboro St
- Durham, NC
- Zip : 27704-2121
- Phone : (919) 684-8111
Second Address
- Susan Gail Kreissman
- 4101 N Roxboro St
- Durham, NC
- Zip : 27704-2121
- Phone : (919) 684-8111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | NC |
National Provider Identifier
| NPI | 1215096177 |
|---|---|
| Provider Name | Susan Gail Kreissman |
| First Address | Durham, NC 27704-2121 |
| Second Address | Durham, NC 27704-2121 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2006 |
| Last Update Date | 12/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 127E6 | BCBS (01) | NC |
| BK2809032 | DEA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.