Individual
SUZANNE GOUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125066761
IL
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
292781
MA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
MT223220
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
292781
MA
2080P0203X
Pediatric Critical Care Medicine Physician
MT223220
PA
Other
Enumeration date
06/04/2015
Last updated
08/01/2022
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