Provider Demographics
NPI:1245213735
Name:MOSLER, SUSAN J (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:J
Last Name:MOSLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:15 STRAW AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1464
Mailing Address - Country:US
Mailing Address - Phone:413-584-2333
Mailing Address - Fax:413-584-3512
Practice Address - Street 1:15 STRAW AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1464
Practice Address - Country:US
Practice Address - Phone:413-584-2333
Practice Address - Fax:413-584-3512
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA58747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA058747OtherTUFTS
587471OtherCONNECTICARE
MA3171663Medicaid
MA3776435OtherCIGNA
MA2358546OtherAETNA
MA24682OtherHEALTH NEW ENGLAND
MAJ18174OtherBCBS MA
MA66452OtherHARVARD PILGRIM
MAJ18174OtherBCBS MA
MA24682OtherHEALTH NEW ENGLAND