| Doctor Name: | SUSAN BERARDINELLI |
| NPI Number: | 1043357577 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA002245L |
| Business Practice Address: | 3670 Portage St Portage, PA - 159466546 |
| Business Phone Number: | 8147369614 |
| Business Fax Number: | 8147369783 |
| Mailing Address: | 1086 Franklin St, JOHNSTOWN |
| State: | PA |
| Postal Code: | 159054305 |
| Phone Number: | 8144108300 |
| Fax Number: | 8144108331 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 10/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA002245L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |