Abookire, Susan A

Abookire, Susan A is an individual health care provider with primary practice located at 330 Mount Auburn St , Cambridge MA 02138-5502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Abookire, Susan A can be contacted via phone (617) 575-8603.

Contact Information

Primary practice address
330 Mount Auburn St Cambridge MA 02138-5502
Phone: (617) 575-8603
Fax: (617) 499-5575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 77587 Massachusetts

Profile Details

NPI number 1407859762
LBN Legal business name Abookire, Susan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407859762 NPPES
Massachusetts Other 077587 TUFTS
Massachusetts MEDICAID 3128326 TUFTS
Massachusetts Other J14393 TUFTS
Massachusetts Other AA30856 TUFTS

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