Provider Demographics
NPI:1467406710
Name:KROLEWSKI, SUSAN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:MARIE
Last Name:KROLEWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:264 LAFAYETTE RD
Mailing Address - Street 2:UNIT 2B
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5430
Mailing Address - Country:US
Mailing Address - Phone:603-433-4774
Mailing Address - Fax:603-433-8433
Practice Address - Street 1:264 LAFAYETTE RD
Practice Address - Street 2:UNIT 2B
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5430
Practice Address - Country:US
Practice Address - Phone:603-433-4774
Practice Address - Fax:603-433-8433
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH10090207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010690Medicaid
NH7904880OtherCIGNA
NH089018OtherANTHEM
NH7904880OtherCIGNA
NH30010690Medicaid