Provider Demographics
NPI:1962515346
Name:WESTBROOK, SUZANNE G (MD)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:G
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:75 MOUNT AUBURN ST
Mailing Address - Street 2:HUHS
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4960
Mailing Address - Country:US
Mailing Address - Phone:617-495-2001
Mailing Address - Fax:617-496-0530
Practice Address - Street 1:75 MOUNT AUBURN ST
Practice Address - Street 2:HUHS
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4960
Practice Address - Country:US
Practice Address - Phone:617-495-2001
Practice Address - Fax:617-496-0530
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2015-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA70626207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA070626OtherTUFTS HEALTH PLAN
MAJ03520OtherBC/BS OF MA
MAJ03520OtherBC/BS OF MA
MAA57051Medicare UPIN