# SUSAN MANN, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619398922
- **Authorized official:** SUSAN MANN MD (CEO)
- **Authorized official phone:** (617) 366-7711

## Contact information

- **Practice address:** 1180 BEACON ST, SUITE A, BROOKLINE, MA 02446-3885
- **Practice address phone:** (617) 366-7711
- **Mailing address:** 1180 BEACON ST, SUITE A, BROOKLINE, MA 02446-3885
- **Mailing address phone:** (617) 366-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 71838 | MA | Yes |

## Other

- **Enumeration date:** 01/04/2014
- **Last updated:** 01/04/2014