Provider Demographics
NPI:1770765505
Name:LUC, SUZELLE S (MD)
Entity type:Individual
Prefix:DR
First Name:SUZELLE
Middle Name:S
Last Name:LUC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 MILL ROAD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:206 MILL RD
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-5208
Practice Address - Country:US
Practice Address - Phone:508-973-9070
Practice Address - Fax:774-992-0072
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2025-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD18088207RR0500X
MA245227207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology