Pauker, Susan Perlmutter

Pauker, Susan Perlmutter is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Pauker, Susan Perlmutter can be contacted via phone (617) 629-6250.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Fax: (617) 629-6108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34393 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 34393 Massachusetts

Profile Details

NPI number 1528058799
LBN Legal business name Pauker, Susan Perlmutter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Feb 24th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528058799 NPPES
Massachusetts MEDICAID 3193951

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