Provider Demographics
NPI:1730396466
Name:ASHTON, SUSANNE STERLING (MD)
Entity type:Individual
Prefix:DR
First Name:SUSANNE
Middle Name:STERLING
Last Name:ASHTON
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 1:7325 BROOKVIEW RD
Mailing Address - Street 2:UNIT 404
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6043
Mailing Address - Country:US
Mailing Address - Phone:301-904-8555
Mailing Address - Fax:
Practice Address - Street 1:7325 BROOKVIEW RD
Practice Address - Street 2:UNIT 404
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6043
Practice Address - Country:US
Practice Address - Phone:301-904-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0023876207VH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB69954Medicare UPIN