Individual
SUSAN R EHRENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
311 SERVICE RD, EAST SANDWICH, MA 02537-1370
(508) 833-4172
(508) 833-4202
Mailing address
311 SERVICE RD, EAST SANDWICH, MA 02537-1370
(508) 833-4172
(508) 833-4202
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
78318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133494
—
MA
Enumeration date
03/09/2006
Last updated
01/18/2022
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