Individual
SUSAN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1180 BEACON ST STE A, BROOKLINE, MA 02446-3870
(617) 366-7711
(617) 232-2055
Mailing address
1180 BEACON ST STE A, BROOKLINE, MA 02446-3870
(617) 366-7711
(617) 232-2055
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
71838
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014794
NEIGHBORHOOD HEALTH PLAN
MA
05
—
3180433
—
MA
01
—
5211626-002
CIGNA
MA
01
—
738250
TUFTS HEALTH PLAN
MA
01
—
G274
HARVARD PILGRIM
MA
01
—
J07609
BLUE CROSS
MA
Enumeration date
11/13/2006
Last updated
02/14/2014
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