Healthcare Provider Details

I. General information

NPI: 1992020812
Provider Name (Legal Business Name): SUSANNA GELMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2010
Last Update Date: 04/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 HUNTINGDON PIKE
HUNTINGDON VALLEY PA
19006-8362
US

IV. Provider business mailing address

223 SYCAMORE CIR
FEASTERVILLE TREVOSE PA
19053-7222
US

V. Phone/Fax

Practice location:
  • Phone: 215-379-2725
  • Fax:
Mailing address:
  • Phone: 215-479-5464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP441224
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: