Individual
MS. SUSAN MAE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 306-6000
Mailing address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 306-6000
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
115012
MA
Other
Enumeration date
03/01/2008
Last updated
01/23/2014
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