Individual
SUSAN DOWD BROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6161
Mailing address
10 DANIELS DRIVE, BEDFORD, MA 01730
(781) 538-5877
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
219816
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103567
—
MA
01
—
J29622
BLUE SHIELD
MA
Enumeration date
02/08/2006
Last updated
06/03/2008
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