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Individual

DR. SUSAN ALLISON IRONSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2014021714
MO
207L00000X
Anesthesiology Physician
Primary
270260
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
270260
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110122583A
MA
Enumeration date
07/15/2009
Last updated
02/01/2023
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