Individual
SUSAN TULCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5270
Mailing address
230 WORCESTER ST, HARVARD VANGUARD MEDICAL ASSOCIATES, WELLESLEY, MA 02481-5420
(781) 431-5480
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
116684
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036955
NEIGHBORHOOD HEALTH PLAN
MA
01
—
669500
TUFTS HEALTH PLAN
MA
01
—
PN0626
BLUE CROSS
MA
Enumeration date
07/22/2006
Last updated
10/05/2009
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