Active NPIIndividual provider

Susan R Liu, MD

Pediatrics in Watertown, Massachusetts

NPI Number1033641774
Practice location
485 Arsenal St, Watertown, MA 02472-5091
Fax
617-972-5593
Last updated
June 4, 2023

Susan R. Liu is a Pediatrics based in Watertown, MA. Susan R. Liu practices in Watertown, MA and has the professional credentials of MD. The NPI Number for Susan R. Liu is 1033641774 and holds a License No. 35.138934 (OH). The current practice location address for Susan R. Liu is 485 Arsenal St, Watertown, MA 02472-5091 and can be reached out via phone at 617-972-5570 and via fax at 617-972-5593.

Provider Profile Details

NPI Number
1033641774
Provider Name
Susan R. Liu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
485 Arsenal St, Watertown, MA 02472-5091
Phone Number
617-972-5570
Fax Number
617-972-5593
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
March 31, 2017
Last Update Date
June 4, 2023
Certification Date
June 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
485 Arsenal St
Watertown, MA 02472-5091
Zip
02472-5091
Phone Number
617-972-5570
Fax Number
617-972-5593
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
485 Arsenal St
Watertown, MA 02472-5091
City
Watertown
State
MA
Zip
02472-5091
Phone Number
617-972-5570
Fax Number
617-972-5593

License Information

License Number (2)
35.138934
License State (2)
OH
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
1014133
License State (3)
MA
Taxonomy (3)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan R Liu, MD?

The NPI number of Susan R Liu, MD is 1033641774. It was assigned on March 31, 2017 and is currently active in the NPPES registry.

What is the specialty of Susan R Liu, MD?

Susan R Liu, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in OH under license number 35.138934.

Where does Susan R Liu, MD practice?

The practice location is 485 Arsenal St, Watertown, MA 02472-5091. The office can be reached at 617-972-5570 (phone) or 617-972-5593 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033641774 directly on the NPPES registry website.

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