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
Phone: (617) 629-6250
Fax: (617) 629-6108
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528058799 | NPPES |
| Massachusetts | MEDICAID | 3193951 |
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