Provider Demographics
NPI:1538120324
Name:WOLANIN-SAIFI, SUZANNE V (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:V
Last Name:WOLANIN-SAIFI
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 1:4400 CARLISLE PIKE
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4132
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4400 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4132
Practice Address - Country:US
Practice Address - Phone:717-975-9800
Practice Address - Fax:717-975-5509
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD071528L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA80174963OtherRAILROAD MEDICARE
PA813563OtherBLUE CROSS
PA001848218 0001Medicaid
PA000813563OtherHIGHMARK BLUE SHIELD
PAH26023Medicare UPIN
PA46696 D99Medicare PIN