Most Relevant Information
Provider Data
| NPI Number: | 1003685983 |
| Provider Name: | SUSAN MAUREEN DUBENDORFER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | MA002833L |
Most Important Dates
| Enumeration Date: | 12/20/2023 |
| Last Updated: | 12/20/2023 |
Provider Practice Location
130 S 9TH ST
PHILADELPHIA
PA
191075233
Practice Location Phone/Fax
| Phone: | 2152069392 |
| Fax: |
Provider Mailing Location
130 S 9TH ST
PHILADELPHIA
PA
191075233
Provider Mailing Phone/Fax
| Phone: | 2152069392 |
| Fax: |