Cohen, Susan Ruth

Cohen, Susan Ruth is an individual health care provider with primary practice located at 907 Sumner St Suite M-102, Stoughton MA 02072-3374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cohen, Susan Ruth can be contacted via phone (781) 344-3791.

Contact Information

Primary practice address
907 Sumner St Suite M-102 Stoughton MA 02072-3374
Fax: (781) 341-3614
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 71956 Massachusetts

Profile Details

NPI number 1487616025
LBN Legal business name Cohen, Susan Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
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 1487616025 NPPES
Massachusetts MEDICAID 3089088

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