Provider Demographics
NPI:1063699957
Name:BROOKS, ANGELA SUZANNE (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:SUZANNE
Last Name:BROOKS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:SUZANNE
Other - Last Name:MAURER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:147 GETTYS ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2534
Practice Address - Country:US
Practice Address - Phone:717-337-4120
Practice Address - Fax:717-337-4236
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433651207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20076032OtherAMERIHEALTH MERCY-WMG
PA240851OtherUNISON-WMG
PA9707144OtherAETNA
PA50077933OtherCAPITAL BLUE CROSS-GH
PA212421OtherJOHNS HOPKINS
PA116380OtherGEISINGER HEALTH PLAN
PA1572187OtherGATEWAY-WMG
PA126120QVQMedicare PIN
PA240851OtherUNISON-WMG