Provider Demographics
NPI:1558465864
Name:KITEI, SUSAN COMER (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:COMER
Last Name:KITEI
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 1:36 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-3061
Mailing Address - Country:US
Mailing Address - Phone:610-758-3870
Mailing Address - Fax:610-758-5833
Practice Address - Street 1:36 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-3061
Practice Address - Country:US
Practice Address - Phone:610-758-3870
Practice Address - Fax:610-758-5833
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032592E208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice