Luo, Su
Luo, Su is an individual health care provider with primary practice located at 67 S Bedford St , Burlington MA 01803-5108. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Luo, Su can be contacted via phone (781) 744-8000.Contact Information
Primary practice address
67 S Bedford St
Burlington MA 01803-5108
Phone: (781) 744-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 266195 | Massachusetts |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD15425 | Rhode Island |
Profile Details
| NPI number | 1609165315 |
|---|---|
| LBN Legal business name | Luo, Su |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2011 |
| Last updated | Oct 5th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609165315 | NPPES |
| Massachusetts | Other | 207N00000X | MEDICARE 855O |
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