Individual
CARMEN SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3250
(508) 453-8152
Mailing address
630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 368-5532
(508) 453-8152
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
258991
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320858
—
MA
Enumeration date
12/26/2006
Last updated
05/03/2017
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