Provider Demographics
NPI:1114245529
Name:NEUFELD, ELIZABETH SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SUE
Last Name:NEUFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CASTLEBROOK RETREAT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411
Mailing Address - Country:US
Mailing Address - Phone:912-598-8355
Mailing Address - Fax:912-598-0123
Practice Address - Street 1:1 CASTLEBROOK RETREAT
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411
Practice Address - Country:US
Practice Address - Phone:912-598-8355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA639690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA639690OtherMEDICAL LICENSE PHYSICIAN & SURGEON