Individual
SUSAN L PAKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 COMMERCE ST, PEDIATRICS, LINCOLN, RI 02865-1168
(401) 793-8484
(401) 793-8481
Mailing address
1 COMMERCE ST, PEDIATRICS, LINCOLN, RI 02865-1168
(401) 793-8484
(401) 793-8481
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD05525
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067871
—
MA
05
—
7003061
—
RI
Enumeration date
06/27/2005
Last updated
07/21/2008
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