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Individual
DR. SUSAN MARY MANSON
Active
Individual
DR. SUSAN MARY MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
314541
NY
207R00000X
Internal Medicine Physician
ME100442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432190499
—
ME
Enumeration date
05/24/2006
Last updated
11/15/2022
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