MEDICARE: DR. SUSAN D ETTINGER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	OS004397L	PA

General Provider Information

NPI Number	:	1134111214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN D ETTINGER DO

Provider Business Mailing Address
First Line	:	108 COWPATH RD
Second Line	:	SUITE 1
City	:	LANSDALE
State	:	PA
Zip	:	19446-1152
Country	:	US
Telephone Number	:	215-855-1599
Fax Number	:	215-855-1589

Provider Business Practice Location Address
First Line	:	108 COWPATH RD
Second Line	:	SUITE 1
City	:	LANSDALE
State	:	PA
Zip	:	19446-1152
Country	:	US
Telephone Number	:	215-855-1599
Fax Number	:	215-855-1589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1447125307 — MORGAN BECK CRNP
Practice Location Address:

108 COWPATH RD STE 2
LANSDALE, PA
19446-1152

Practice Phone: 215-362-6700
Practice Fax:

1073513503 — DR. CAROL EILEEN KLEBACK M.D.
Practice Location Address:

108 COWPATH RD , SUITE 1
LANSDALE, PA
19446-1152

Practice Phone: 215-855-1599
Practice Fax: 215-855-1589

1184667420 — COWPATH PEDIATRICS, LLC
Practice Location Address:

108 COWPATH RD , SUITE 1
LANSDALE, PA
19446-1152

Practice Phone: 215-855-1599
Practice Fax:

1811257322 — GERSON ASSOCIATES, P.C.
Practice Location Address:

108 COWPATH RD STE 4
LANSDALE, PA
19446-1152

Practice Phone: 215-855-1582
Practice Fax: 215-855-9356

1194246199 — MRS. SARAH SMITH CRNP
Practice Location Address:

108 COWPATH RD STE 1
LANSDALE, PA
19446-1152

Practice Phone: 215-855-1599
Practice Fax:

1508367913 — MARY B GRACEY LLC
Practice Location Address:

108 COWPATH RD STE 2
LANSDALE, PA
19446-1152

Practice Phone: 215-362-6700
Practice Fax:

Directions to “ DR. SUSAN D ETTINGER DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.