Individual
DR. SUSAN EILEEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 HARRISON AVE, YACC 4, BOSTON, MA 02118-4001
(617) 414-2000
(617) 414-5798
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
54176
MA
207VG0400X
Gynecology Physician
7665
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097545A
—
MA
Enumeration date
04/12/2007
Last updated
05/27/2014
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