Individual
MS. SUZANNE ARLENE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6235
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(978) 851-6259
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN205007
MA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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