Individual
SUZANNE JOHANNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 WARWICK RD, BELMONT, MA 02478-2840
(617) 484-5073
Mailing address
45 WARWICK RD, BELMONT, MA 02478-2840
(617) 484-5073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73389
MA
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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