Individual
SUSAN MELANSON PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 1ST AVE, WALTHAM, MA 02451-1105
(781) 647-7246
Mailing address
55 FOX RD, APT 921, WALTHAM, MA 02451-0245
(520) 921-0356
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
86244
MA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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