Graves, Suzanne Farrow

Graves, Suzanne Farrow is an individual health care provider with primary practice located at 83 Herrick St Garden City Pediatric Assoc Inc, Beverly MA 01915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Graves, Suzanne Farrow can be contacted via phone (978) 927-4980.

Contact Information

Primary practice address
83 Herrick St Garden City Pediatric Assoc Inc Beverly MA 01915
Phone: (978) 927-4980
Fax: (978) 922-9115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 75705 Massachusetts

Profile Details

NPI number 1598705543
LBN Legal business name Graves, Suzanne Farrow
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1598705543 NPPES
Massachusetts MEDICAID 3115399

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