Provider Demographics
NPI:1942440490
Name:SOLOMON, SUSAN MAIMONIDES (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:MAIMONIDES
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1405 WESTOVER HILLS BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-3153
Mailing Address - Country:US
Mailing Address - Phone:804-232-0404
Mailing Address - Fax:804-232-0424
Practice Address - Street 1:1405 WESTOVER HILLS BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-3153
Practice Address - Country:US
Practice Address - Phone:804-232-0404
Practice Address - Fax:804-232-0424
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101040098207VG0400X
VA010140098207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology