Brough, Susan Dowd

Brough, Susan Dowd is an individual health care provider with primary practice located at 295 Varnum Ave , Lowell MA 01854-2134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Brough, Susan Dowd can be contacted via phone (978) 937-6161.

Contact Information

Primary practice address
295 Varnum Ave Lowell MA 01854-2134
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 219816 Massachusetts

Profile Details

NPI number 1073586442
LBN Legal business name Brough, Susan Dowd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jun 3rd, 2008 - about 16 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 1073586442 NPPES
Massachusetts MEDICAID 2103567
Massachusetts Other J29622

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