Healthcare Provider Details

I. General information

NPI: 1679490239
Provider Name (Legal Business Name): SUZAN ALHUSSEIN RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 W LANCASTER AVE
WAYNE PA
19087-3924
US

IV. Provider business mailing address

2201 STRAHLE ST APT E1
PHILADELPHIA PA
19152-2526
US

V. Phone/Fax

Practice location:
  • Phone: 610-910-9555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH76443
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: