Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 0101057176 | VA |
Y | 208000000X | Pediatrician | 0101057176 | VA |
N | 2080P0204X | Pediatric Emergency Doctor | 0101057176 | VA |
NPI | 1306883517 |
---|---|
Provider Name | Suzanne C Sartori |
First Address | Norfolk, VA 23507-1515 |
Second Address | Norfolk, VA 23507-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 15/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018229910001 | (05) | PA |
006731481 | (05) | VA |
1806623000 | (05) | WV |
766303000 | (05) | MD |
7906023 | (05) | NC |
G93984 | (02) |