Individual
DR. SUSAN M. STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
45 WELLS ST, WESTERLY, RI 02891-2927
(401) 596-3229
(401) 596-0850
Mailing address
46 WELLS ST, WESTERLY, RI 02891-2924
(401) 596-0174
(401) 596-2266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RI0486
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000486
TUFTS
RI
01
—
040000486RI01
ANTHEM
RI
Enumeration date
10/26/2006
Last updated
05/24/2012
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