National Provider Identifier Database

JOANNE A SUPERSAD, MD – NPI #1013096148
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

JOANNE A SUPERSAD, MD
200 MUIR RD
MARTINEZ, CA94553-4614
Phone: 925-372-1000
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for JOANNE A SUPERSAD

NPI Number 1013096148
Credentials MD
Entity Individual
Enumeration date 11/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • CA License #: G51939
  • CA Medicaid: 00G519390
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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