Provider Demographics
NPI:1669637351
Name:PILOSSOPH, SUSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:PILOSSOPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUSAN
Other - Middle Name:PILOSSOPH
Other - Last Name:GELB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3515 WASHINGTON RD
Mailing Address - Street 2:SUITE 550
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3063
Mailing Address - Country:US
Mailing Address - Phone:724-969-4321
Mailing Address - Fax:724-941-6948
Practice Address - Street 1:3515 WASHINGTON RD
Practice Address - Street 2:SUITE 550
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3063
Practice Address - Country:US
Practice Address - Phone:724-969-4321
Practice Address - Fax:724-941-6948
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-055075-L146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate