Suzanne Pender in Boston - Diagnostic Radiology

Suzanne Pender - NPI 1366428088

Suzanne Pender is a Diagnostic Radiology in Boston, Massachusetts. Suzanne Pender practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Suzanne Pender is 1366428088. The last update date is 2012-09-12.

Suzanne Pender's current location address is 1153 Centre St, Boston, Massachusetts. You can contact this provider via phone number 6179837090 and fax number 6179837091. The mailing address for Suzanne Pender is 1153 Centre St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Suzanne Pender
Address 1153 Centre St, Boston, Massachusetts
Phone Number 6179837090
Fax Number 6179837091
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1366428088
Provider Enumeration Date 2005-12-15
Last Updated Date 2012-09-12

Provider Mailing Address Detail

Address 1153 Centre St
City Boston
State Massachusetts (MA)
Post Code 2130
Phone Number 6179837090
Fax Number 6179837091

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 72463
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3070808 MA --
J10285 MA BLUE CROSS BLUE SHIELD
72463 MA TUFTS

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FAQs about Suzanne Pender

What is the unique identification code assigned to Suzanne Pender by the Centers for Medicare & Medicaid Services?

The Suzanne Pender has been issued the NPI (National Provider Identifier) 1366428088. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Suzanne Pender is physically located?

The Suzanne Pender is situated at the following address: 1153 Centre St, Boston, MA 2130.

What is the Suzanne Pender's area of specialization and corresponding taxonomy classification?

The Suzanne Pender's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did Suzanne Pender receive its 1366428088 assignment from the Centers for Medicare & Medicaid Services?

The Suzanne Pender was assigned its 1366428088 on 2005-12-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Suzanne Pender, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Suzanne Pender, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-12.

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