Provider Demographics
NPI:1790732485
Name:DOSS, SUSEELA (MD, FACOG)
Entity Type:Individual
Prefix:
First Name:SUSEELA
Middle Name:
Last Name:DOSS
Suffix:
Gender:F
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MARCELLUS DR
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2935
Mailing Address - Country:US
Mailing Address - Phone:617-244-1092
Mailing Address - Fax:
Practice Address - Street 1:30 MARCELLUS DR
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2935
Practice Address - Country:US
Practice Address - Phone:617-244-1092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA43236207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology