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1659530533 NPI number — SUZANNE SIEFERT KOOL M.D.

NPI Number: 1659530533
Health Care Provider/Practitioner: SUZANNE SIEFERT KOOL M.D.

Information about “1659530533” NPI (SUZANNE SIEFERT KOOL M.D.) exists in 1659530533 in HTML format HTML  |  1659530533 in plain Text format TXT  |  1659530533 in PDF (Portable Document Format) PDF  |  1659530533 in an XML format XML  formats.

NPI Number : 1659530533 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659530533",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOOL",
    "FirstName": "SUZANNE",
    "MiddleName": "SIEFERT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SIEFERT",
    "OtherFirstName": "SUZANNE",
    "OtherMiddleName": "AMANDA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "22 S GREENE ST",
    "SecondLineMailingAddress": "GENERAL SURGERY, N4E29",
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21201-1544",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 E UNIVERSITY PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21218-2829",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-554-2950",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/05/2008",
    "LastUpdateDate": "05/30/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2086S0129X",
        "TaxonomyName": "Vascular Surgery Physician",
        "LicenseNumber": "D83565",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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