Individual
DR. SUSANNA R MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 BREWSTER ST, FAMILY CARE CENTER, PAWTUCKET, RI 02860-4400
(401) 729-2206
(401) 729-3495
Mailing address
111 BREWSTER ST, WOOD BLDG 516, PAWTUCKET, RI 02860-4400
(401) 729-3481
(401) 729-2721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10534
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007061049
MEDICARE PTAN
RI
05
—
7009042
—
RI
Enumeration date
12/06/2005
Last updated
05/17/2010
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