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Search › Pennsylvania › 102L00000X

Susan Shively, M.D

NPI 1912119843 · on the registry since 2007 · sole proprietor

Practice

Address
255 S 17th St
Suite 2710
Philadelphia, PA 19103
Phone
(215) 735-1554
Fax
(215) 732-5402
Organisation at this address
Mtp Rx Llc
Mtp Rx Llc
Indlovu, Llc
Leeor Gal Llc
Kyra Sjarif Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
274

Registry record

Primary taxonomy
102L00000X
102L00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania