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Individual

SUSAN E. HOLZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 496-9506
Mailing address
75 MOUNT AUBURN ST, HARVARD UNIVERSITY HEALTH SERVICES, CAMBRIDGE, MA 02138-4960
(617) 496-8700
(617) 495-6059

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52193
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J04780
BC/BS OF MA
MA
Enumeration date
08/17/2006
Last updated
11/06/2007
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