Provider Demographics
NPI:1275595720
Name:ADAMS, SUSAN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:325 W BROAD ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5526
Practice Address - Country:US
Practice Address - Phone:484-626-9222
Practice Address - Fax:484-626-9220
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2016-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD044941L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF40428Medicare UPIN