Provider Demographics
NPI:1831416619
Name:CHERAMIE, SUSAN L
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:L
Last Name:CHERAMIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WARD TER
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-1427
Mailing Address - Country:US
Mailing Address - Phone:781-598-0032
Mailing Address - Fax:
Practice Address - Street 1:12 WARD TER
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-1427
Practice Address - Country:US
Practice Address - Phone:781-598-0032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker