Provider Demographics
NPI:1982800942
Name:CATALAN, SUSAN ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ELAINE
Last Name:CATALAN
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 1:200 HYGEIA DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:726 YORKLYN RD STE 100
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8745
Practice Address - Country:US
Practice Address - Phone:302-234-5770
Practice Address - Fax:302-234-5777
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000539207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA01067469OtherAMERIGROUP
GA52230091-001OtherBCBS
GA135446655AMedicaid
GAP00406201OtherRR MEDICARE
GA404165OtherWELLCARE
GAP00406201OtherRR MEDICARE