Individual
DR. SUSAN J TRUBILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7701
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57567
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023180
—
MA
Enumeration date
10/04/2006
Last updated
08/20/2007
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