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Individual

SUZANNE WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5200
(781) 431-5298
Mailing address
147 MILK ST, PROVIDER ENROLLMENT DEPT, 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8096
(617) 421-3487

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
178960
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360970
MA
01
3237686-001
CIGNA HEALTH CARE
MA
01
CN0009
BCBS MA
MA
01
F290
HARVARD PILGRIM
MA
Enumeration date
12/14/2006
Last updated
07/08/2007
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