SUSAN MAUREEN DUBENDORFER PA-C NPI 1003685983

NPI Information

  • NPI: 1003685983
  • Provider Name: SUSAN MAUREEN DUBENDORFER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 130 S 9TH ST
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 206-9392

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NPI Details

Susan Maureen Dubendorfer, PA-C is a medical physician assistant in Philadelphia, PA. Susan Maureen Dubendorfer, PA-C NPI is 1003685983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 S 9TH ST
PHILADELPHIA, PA
ZIP 19107-233
Phone: (215) 206-9392

The enumeration date for this NPI number is 12/20/2023 and was last updated on 12/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalMA002833LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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