Individual
DR. SUSANA ADELA EBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
732 HARRISON AVE, FL 2, PRESTON BLDG, ENDOCRINOLOGY, BOSTON, MA 02118-2309
(617) 638-7470
(617) 638-7449
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
226722-1
NY
207R00000X
Internal Medicine Physician
226722
NY
207R00000X
Internal Medicine Physician
71429
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
226722
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
71429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01634371
—
NY
Enumeration date
07/18/2006
Last updated
09/04/2024
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