Healthcare Provider Details

I. General information

NPI: 1851370357
Provider Name (Legal Business Name): SUSAN GRIFFITH SCHNEIDER M.D.,MSPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN E GRIFFITH M.D.

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 SILVER AVE
SAN FRANCISCO CA
94112-1510
US

IV. Provider business mailing address

302 SILVER AVE
SAN FRANCISCO CA
94112-1510
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-0605
  • Fax: 415-514-8192
Mailing address:
  • Phone: 415-476-0605
  • Fax: 415-514-8192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberC191938
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: