Susan Rose Podolsky
Obstetrician & Gynecologist
2603 Patterson Rd Ste 1
Riverbank
, California 95367-3407
Susan Rose Podolsky
Obstetrician & Gynecologist
2603 Patterson Rd Ste 1
Riverbank
, California 95367-3407
(209) 869-6357
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Susan Rose Podolsky
- 2603 Patterson Rd Ste 1
- Riverbank, CA
- Zip : 95367-3407
- Fax : (209) 869-6357
- Phone : (209) 869-5678
Second Address
- Susan Rose Podolsky
- 2603 Patterson Rd Ste 1
- Riverbank, CA
- Zip : 95367-3407
- Fax : (209) 869-6357
- Phone : (209) 869-5678
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | G62868 | CA |
National Provider Identifier
| NPI | 1013974815 |
|---|---|
| Provider Name | Susan Rose Podolsky |
| First Address | Riverbank, CA 95367-3407 |
| Second Address | Riverbank, CA 95367-3407 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 27/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E25237 | (02) | CA |
| GR0076050 | (05) | CA |
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.