Macdonald, Susan M

Macdonald, Susan M is an individual health care provider with primary practice located at 1 Essex Center Dr , Peabody MA 01960-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Macdonald, Susan M can be contacted via phone (978) 538-4400.

Contact Information

Primary practice address
1 Essex Center Dr Peabody MA 01960-2901
Fax: (978) 538-4724
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 78350 Massachusetts

Profile Details

NPI number 1972695138
LBN Legal business name Macdonald, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Feb 14th, 2011 - about 15 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 1972695138 NPPES
Massachusetts MEDICAID 110053216A

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