Individual
SUSAN JOSEPH COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2329
(781) 407-7713
(781) 407-0998
Mailing address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2329
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP01653
LA
367500000X
Certified Registered Nurse Anesthetist
RN038579
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2272881
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1697460
—
LA
01
—
P00458883
RR MEDICARE
LA
Enumeration date
12/11/2006
Last updated
08/18/2011
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