Individual
SUSANNE J PATRICK-MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2444 E MAIN RD, PORTSMOUTH, RI 02871-4025
(401) 683-1048
(401) 683-1239
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD09030
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005007
—
RI
Enumeration date
05/30/2006
Last updated
02/17/2016
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