Individual
SUSAN R. LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 972-5570
(617) 972-5593
Mailing address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 972-5570
(617) 972-5593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1014133
MA
208000000X
Pediatrics Physician
35.138934
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
06/04/2023
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