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Individual

MS. SUSAN J PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

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
Update your record

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