MEDICARE: DR. SUSAN GIBSON DUNLOW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	00026070	WA
2	207VX0000X	Obstetrics Physician	00026070	WA
3	207V00000X	Obstetrics & Gynecology Physician	MD00026070	WA

General Provider Information

NPI Number	:	1053384446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN GIBSON DUNLOW M.D.

Provider Business Mailing Address
First Line	:	8901 ROCKVILLE PIKE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-5095
Country	:	US
Telephone Number	:	301-400-2433
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 ROCKVILLE PIKE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-5001
Country	:	US
Telephone Number	:	301-400-2433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	03/17/2018

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