Individual
DR. SUSANNA B MIERAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DPHIL
Contact information
Practice address
60 FENWOOD RD, BOSTON, MA 02115-6128
(617) 732-8060
Mailing address
1 MAGUIRE ROAD, MGH LURIE CENTER FOR AUTISM, LEXINGTON, MA 02421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046779
KS
2084N0400X
Neurology Physician
Primary
247778
MA
Other
Enumeration date
06/15/2007
Last updated
02/02/2021
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