Individual
SUSAN POTTER SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 CENTRAL ST, WALTHAM, MA 02453-5465
(781) 891-0556
Mailing address
118 CENTRAL ST, WALTHAM, MA 02453
(781) 891-0556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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