Individual
MR. CARLOS SUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 PATRIOT PL, FOXBOROUGH, MA 02035-1375
(508) 718-4050
Mailing address
20 PATRIOT PL, FOXBOROUGH, MA 02035-1375
(508) 718-4050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01987
NC
363A00000X
Physician Assistant
Primary
PA7168
MA
363AM0700X
Medical Physician Assistant
PA9106985
FL
Other
Enumeration date
09/11/2009
Last updated
03/11/2020
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