Individual
MS. SUSANNE T DUSZLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
291 LINCOLN ST, SUITE 303, WORCESTER, MA 01605-3643
(508) 798-3344
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN110929
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343340
—
MA
Enumeration date
02/13/2006
Last updated
12/18/2020
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