Provider Demographics
NPI:1740603992
Name:MAUZY, SUSANNA (CPM)
Entity Type:Individual
Prefix:
First Name:SUSANNA
Middle Name:
Last Name:MAUZY
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 VARNUM ST
Mailing Address - Street 2:#3
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-8712
Mailing Address - Country:US
Mailing Address - Phone:608-469-3725
Mailing Address - Fax:
Practice Address - Street 1:31 VARNUM ST
Practice Address - Street 2:#3
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-8712
Practice Address - Country:US
Practice Address - Phone:608-469-3725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-23
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay