Perrine, Susan P

Perrine, Susan P is an individual health care provider with primary practice located at 830 Harrison Ave Moakley, 3Rd Floor, Boston MA 02118-2905. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Perrine, Susan P can be contacted via phone (617) 638-6428.

Contact Information

Primary practice address
830 Harrison Ave Moakley, 3Rd Floor Boston MA 02118-2905
Phone: (617) 638-6428
Fax: (617) 638-5756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 42952 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42952 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 42952 Massachusetts

Profile Details

NPI number 1427035302
LBN Legal business name Perrine, Susan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Apr 7th, 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 1427035302 NPPES
Massachusetts MEDICAID 110055287A

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