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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1609165315 NPPES
Massachusetts Other 207N00000X MEDICARE 855O

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