Active NPIIndividual provider

Suzanne M Bradshaw, MD

Pediatrics in East Boston, Massachusetts

NPI Number1710944640
Practice location
10 Gove St, East Boston, MA 02128-1920
Fax
617-568-4756
Last updated
October 15, 2019

Suzanne Marie Bradshaw is a Pediatrics based in East Boston, MA. Suzanne Marie Bradshaw practices in East Boston, MA and has the professional credentials of MD. The NPI Number for Suzanne Marie Bradshaw is 1710944640 and holds a License No. 265029 (MA). The current practice location address for Suzanne Marie Bradshaw is 10 Gove St, East Boston, MA 02128-1920 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4756.

Provider Profile Details

NPI Number
1710944640
Provider Name
Suzanne Marie Bradshaw
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
10 Gove St, East Boston, MA 02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4756
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
April 26, 2006
Last Update Date
October 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Gove St
East Boston, MA 02128-1920
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4756
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4756

License Information

License Number
265029
License State
MA
Taxonomy
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 Suzanne M Bradshaw, MD?

The NPI number of Suzanne M Bradshaw, MD is 1710944640. It was assigned on April 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Suzanne M Bradshaw, MD?

Suzanne M Bradshaw, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 265029.

Where does Suzanne M Bradshaw, MD practice?

The practice location is 10 Gove St, East Boston, MA 02128-1920. The office can be reached at 617-569-5800 (phone) or 617-568-4756 (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 1710944640 directly on the NPPES registry website.

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