Provider Information for 1902078348
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Dr. SUSAN TODD FUTERAL PHD
Other Names:Other Name:Dr. SUSAN TODD MYROWITZSex: Female
NPI: 1902078348
Last Updated: 2008-03-26
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Certification Date:
Details
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NPI | 1902078348 | ||||||||||||||||
Enumeration Date | 2008-03-26 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 7511 SLADE AVE BALTIMORE, MD 21208-4537 United States Phone: 410-580-1136 | Fax:410-580-1138 | ||||||||||||||||
Primary Practice Address | 7511 SLADE AVE BALTIMORE, MD 21208-4537 United States Phone: 410-580-1136 | Fax:410-580-1138 | ||||||||||||||||
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