Individual
DR. SUSAN K BANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3180
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
246076
MA
207L00000X
Anesthesiology Physician
MD430607
PA
Other
Enumeration date
05/11/2007
Last updated
03/13/2025
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