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Individual
SUSAN B POLLAN
Active
Individual
SUSAN B POLLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
75361
MA
207R00000X
Internal Medicine Physician
Primary
ME87957
MA
208VP0000X
Pain Medicine Physician
ME87957
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103081
—
MA
01
—
BP0135079
CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE
FL
Enumeration date
08/09/2005
Last updated
02/05/2021
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