Provider Demographics
NPI:1366406704
Name:DUVAL, SUZANNE E (MD)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:E
Last Name:DUVAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:820A TURNPIKE ST
Mailing Address - Street 2:JEFFERSON OFFICE PARK
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6124
Mailing Address - Country:US
Mailing Address - Phone:978-557-5712
Mailing Address - Fax:978-557-5406
Practice Address - Street 1:820A TURNPIKE ST
Practice Address - Street 2:JEFFERSON OFFICE PARK
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6124
Practice Address - Country:US
Practice Address - Phone:978-557-5712
Practice Address - Fax:978-557-5406
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2011-01-27
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Provider Licenses
StateLicense IDTaxonomies
MA220526208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2068401Medicaid
MA467704OtherTUFTS HEALTH PLAN
MAAA13740OtherHARVARD COMMUNITY HEALTH
MAJ27796OtherBLUE CROSS BLUE SHIELD
MA0926870001OtherCIGNA
MAI08358Medicare UPIN