Individual
SUSAN NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5858
Mailing address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5858
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036128194
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036128194
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2010
Last updated
06/12/2023
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