Individual
DR. SUSAN PERLMUTTER PAUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6250
(617) 629-6108
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6250
(617) 629-6108
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
34393
MA
208000000X
Pediatrics Physician
34393
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3193951
—
MA
Enumeration date
10/27/2005
Last updated
02/24/2021
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