Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 70623 | MA |
N | 208600000X | Surgeon | 70623 | MA |
N | 2086X0206X | Surgical Oncologist | 70623 | MA |
NPI | 1326095316 |
---|---|
Provider Name | Dr. Susan Lynn Troyan |
First Address | Boston, MA 02215-5400 |
Second Address | Boston, MA 02215-5400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3059499 | (05) | MA |
E38027 | (02) | MA |