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Individual
SUSAN B WEAVER
Active
Individual
SUSAN B WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
227417
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125811
—
MA
Enumeration date
05/26/2006
Last updated
09/29/2025
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