Individual
MS. SUSAN SLEIGHTER WILFAHRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35 CONGRESS ST, CHARTER PROFESSIONAL SERVICES, SALEM, MA 01970-5529
(978) 741-1200
Mailing address
66 LINCOLN AVE, SOUTH HAMILTON, MA 01982-2028
(978) 468-6523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
202
MA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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