MEDICARE: SUSAN ALLISON HOPPE 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	207R00000X	Internal Medicine Physician	MD418418	PA

General Provider Information

NPI Number	:	1336257393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN ALLISON HOPPE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 746722
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6722
Country	:	US
Telephone Number	:	312-733-9730
Fax Number	:	312-929-0373

Provider Business Practice Location Address
First Line	:	108 W 8TH AVE
Second Line	:
City	:	HOMESTEAD
State	:	PA
Zip	:	15120-1009
Country	:	US
Telephone Number	:	412-399-5835
Fax Number	:	412-219-5275

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	04/30/2025

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