Provider Demographics
NPI:1255696886
Name:TRAVERS, SUZANNE BARNDT (MD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:BARNDT
Last Name:TRAVERS
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 1:2055 CATHILL RD
Mailing Address - Street 2:PO BOX 181
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-1068
Mailing Address - Country:US
Mailing Address - Phone:215-721-6366
Mailing Address - Fax:
Practice Address - Street 1:2055 CATHILL RD
Practice Address - Street 2:
Practice Address - City:TELFORD
Practice Address - State:PA
Practice Address - Zip Code:18969-1068
Practice Address - Country:US
Practice Address - Phone:215-721-6366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033035E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology