Pursell, Susan E

Pursell, Susan E is an individual health care provider with primary practice located at 480 Maple St Suite: 103, Danvers MA 01923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Pursell, Susan E can be contacted via phone (978) 774-4400.

Contact Information

Primary practice address
480 Maple St Suite: 103 Danvers MA 01923
Phone: (978) 774-4400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 2088F0040X 151132 Massachusetts
Allopathic & Osteopathic Physicians / Urology 208800000X 151132 Massachusetts
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 2088F0040X 1822 Massachusetts

Profile Details

NPI number 1942220371
LBN Legal business name Pursell, Susan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 7th, 2018 - about 7 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 1942220371 NPPES
Massachusetts MEDICAID 3156842

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