Individual
SUZANNE M. SHROBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 PATRIOT PL, DERMATOLOGY SPECIALTY CLINIC, 1ST FLOOR, FOXBOROUGH, MA 02035-1375
(508) 718-4010
(508) 718-4011
Mailing address
20 PATRIOT PL, DERMATOLOGY SPECIALTY CLINIC, 1ST FLOOR, FOXBOROUGH, MA 02035-1375
(508) 718-4010
(508) 718-4011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
154413
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154413
TUFTS
MA
05
—
3172589
—
MA
Enumeration date
08/04/2006
Last updated
08/14/2012
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