Kuriakose, Susan

Kuriakose, Susan is an individual health care provider with primary practice located at 545A Centre St , Jamaica Plain MA 02130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kuriakose, Susan can be contacted via phone (617) 522-5464.

Contact Information

Primary practice address
545A Centre St Jamaica Plain MA 02130
Phone: (617) 522-5464
Fax: (617) 524-2966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18055 Massachusetts

Profile Details

NPI number 1114009776
LBN Legal business name Kuriakose, Susan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated May 14th, 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 1114009776 NPPES
Massachusetts MEDICAID 0342980

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