Dusenbery, Susan M

Dusenbery, Susan M is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Dusenbery, Susan M can be contacted via phone (617) 513-6711.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 513-6711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20070111894 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 253317 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 20070111894 Missouri

Profile Details

NPI number 1598987471
LBN Legal business name Dusenbery, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Oct 2nd, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598987471 NPPES
Massachusetts MEDICAID 110095100A
Massachusetts MEDICAID 207231408

Popular Providers