Provider Demographics
NPI:1548362270
Name:DEY, SUZANNE G (MD)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:G
Last Name:DEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1100 LAUREL STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070
Mailing Address - Country:US
Mailing Address - Phone:650-595-3616
Mailing Address - Fax:650-595-0372
Practice Address - Street 1:1100 LAUREL ST
Practice Address - Street 2:SUITE D
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-5000
Practice Address - Country:US
Practice Address - Phone:650-595-3616
Practice Address - Fax:650-595-0372
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2010-06-25
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Provider Licenses
StateLicense IDTaxonomies
CA00G260040207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G260040Medicare PIN
A42869Medicare UPIN