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Individual

DR. SUSAN KELLY-WEEDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
140 COMMONWEALTH AVE, CUSHING HALL #420, CHESTNUT HILL, MA 02467-3800
(617) 552-8018
Mailing address
140 COMMONWEALTH AVE, CUSHING HALL #420, CHESTNUT HILL, MA 02467-3800
(617) 552-8018

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
151039
MA

Other

Enumeration date
07/02/2014
Last updated
07/02/2014
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