Individual
SUSAN LAURA BUCHANAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
44 BINNEY ST, D1B30, BOSTON, MA 02115
(617) 632-3963
(617) 632-6389
Mailing address
44 BINNEY ST, D1B30, BOSTON, MA 02115
(617) 632-3963
(617) 632-6389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA1859
MA
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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