Individual provider · Type 1 NPI
Mary Susan Rae, PA-C
Surgical Physician Assistant · Washington, DC
NPI number
1629176946
Active
Practice location
700 2nd St NE
Washington, DC 20002-8100
Mailing address
2101 E Jefferson St, Kaiser Permanante Medicare Enrollment
Rockville, MD 20852-4908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA030732 (DC) |
| Surgical Physician Assistant | 363AS0400X | C04613 (MD) |
Surgical Physician Assistant: Definition to come...
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- Jessica Elizabeth SmythSurgical Physician Assistant Washington, DC NPI 1033700182
- Shemila Fasihi, PASurgical Physician Assistant Washington, DC NPI 1033952627
- Kirsten Hammar, PA-CSurgical Physician Assistant Washington, DC NPI 1043603699
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- Carol Ann Gandee, PA-CSurgical Physician Assistant Washington, DC NPI 1073620928
About NPI 1629176946
Mary Susan Rae, PA-C's National Provider Identifier is 1629176946, issued on Sep 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Washington, DC. The record was last updated on Dec 30, 2011.