Suzanne B. Cassidy
Pediatrician General Practice Physician Clinical Genetics (M.D.)
2900 Fresno St Suite 101
Fresno
, California 93721-1439
Suzanne B. Cassidy
Pediatrician General Practice Physician Clinical Genetics (M.D.)
2900 Fresno St Suite 101
Fresno
, California 93721-1439
(415) 332-0588
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
- General Practice Physician
Languages spoken
- English
Location
First Address
- Suzanne B. Cassidy
- 66 Toyon Ln
- Sausalito, CA
- Zip : 94965-1826
- Phone : (415) 332-0588
Second Address
- Suzanne B. Cassidy
- 2900 Fresno St Suite 101
- Fresno, CA
- Zip : 93721-1439
- Fax : (559) 227-4217
- Phone : (559) 227-4472
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | G85862 | CA |
| N | 208000000X | Pediatrician | G85862 | CA |
| N | 208D00000X | General Practice Physician | G85862 | CA |
National Provider Identifier
| NPI | 1043328115 |
|---|---|
| Provider Name | Suzanne B. Cassidy |
| First Address | Sausalito, CA 94965-1826 |
| Second Address | Fresno, CA 93721-1439 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2006 |
| Last Update Date | 24/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G858620 | (05) | CA |
| B84441 | (02) | 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.