Martin, Susan Clinton

Martin, Susan Clinton is an individual health care provider with primary practice located at 143 Longwater Dr , Norwell MA 02061-1683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Martin, Susan Clinton can be contacted via phone (781) 878-5200.

Contact Information

Primary practice address
143 Longwater Dr Norwell MA 02061-1683
Phone: (781) 878-5200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 241926 Massachusetts

Profile Details

NPI number 1770741613
LBN Legal business name Martin, Susan Clinton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Jan 8th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770741613 NPPES
Massachusetts MEDICAID 110083548A
Massachusetts Other 04-2297845
Massachusetts Other 04-2297845
Massachusetts Other 754405
Massachusetts Other 8923772
Massachusetts Other 04-2297845
Massachusetts Other 04-2297845
Massachusetts Other 1770741613
Massachusetts Other 1770741613
Massachusetts Other AA176065
Massachusetts Other J46532
Massachusetts Other 9243409

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