Healthcare Provider Details

I. General information

NPI: 1437349321
Provider Name (Legal Business Name): SUSAN J LITTMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 01/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 STONEY RIVER DR
AMBLER PA
19002-1157
US

IV. Provider business mailing address

1316 STONEY RIVER DR
AMBLER PA
19002-1157
US

V. Phone/Fax

Practice location:
  • Phone: 215-628-3118
  • Fax: 215-542-6918
Mailing address:
  • Phone: 215-628-3118
  • Fax: 215-542-6918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD430496
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD430496
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: