Provider Demographics
NPI:1437150505
Name:ZUSER, LYDIA (MD)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:
Last Name:ZUSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 BROWN ST
Mailing Address - Street 2:SUITE # 304
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6778
Mailing Address - Country:US
Mailing Address - Phone:978-373-1591
Mailing Address - Fax:978-373-2017
Practice Address - Street 1:62 BROWN ST
Practice Address - Street 2:SUITE # 304
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6778
Practice Address - Country:US
Practice Address - Phone:978-373-1591
Practice Address - Fax:978-373-2017
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2013-04-18
Deactivation Date:2006-04-11
Deactivation Code:
Reactivation Date:2006-04-11
Provider Licenses
StateLicense IDTaxonomies
MA216647207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA639OtherHARVARD PILGRIM
MAJ26736OtherBLUE SHIELD MA
MA01YP05271MA01OtherBLUE SHIELD NH
MA2014301Medicaid
MA468539OtherTUFTS
MA693270OtherCIGNA-MA
MA01YP05271MA01OtherBLUE SHIELD NH
MAL12345Medicare UPIN