Individual
DR. SUSAN BETH LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 MONARCH PL, 10TH FLOOR, SPRINGFIELD, MA 01144-1099
(413) 734-2000
(413) 734-8000
Mailing address
1 MONARCH PL, 10TH FLOOR, SPRINGFIELD, MA 01144-1099
(413) 734-2000
(413) 734-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-111312
IL
207Q00000X
Family Medicine Physician
Primary
234300
MA
207Q00000X
Family Medicine Physician
47484
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17750357
—
MA
01
—
234300
MASS BORM LICENSE
MA
Enumeration date
08/23/2006
Last updated
10/09/2013
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