Provider Demographics
NPI:1154504652
Name:LIN, SUSAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:S
Last Name:LIN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1919 E THOMAS RD
Mailing Address - Street 2:BLDG. C, ROOM 2240
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7710
Mailing Address - Country:US
Mailing Address - Phone:602-546-4689
Mailing Address - Fax:602-546-4683
Practice Address - Street 1:1919 E THOMAS RD
Practice Address - Street 2:BLDG. C, ROOM 2240
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7710
Practice Address - Country:US
Practice Address - Phone:602-546-4689
Practice Address - Fax:602-546-4683
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
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Provider Licenses
StateLicense IDTaxonomies
AZ373242080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine