Individual
MS. SUSAN J PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
373 NEW BOSTON ROAD, FALL RIVER, MA 02720-5814
(508) 679-0911
(508) 536-0310
Mailing address
373 NEW BOSTON ROAD, FALL RIVER, MA 02720-5814
(508) 679-0911
(508) 536-0310
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
110333
MA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
110333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321443
—
MA
01
—
NP2308
BCBS
MA
Enumeration date
09/05/2006
Last updated
10/12/2012
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