Susan L Pakula
Adolescent Medicine
1 Commerce St Pediatrics
Lincoln
, Rhode Island 02865-1168
Susan L Pakula
Adolescent Medicine
1 Commerce St Pediatrics
Lincoln
, Rhode Island 02865-1168
(401) 793-8481
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Susan L Pakula
- 1 Commerce St Pediatrics
- Lincoln, RI
- Zip : 02865-1168
- Fax : (401) 793-8481
- Phone : (401) 793-8484
Second Address
- Susan L Pakula
- 1 Commerce St Pediatrics
- Lincoln, RI
- Zip : 02865-1168
- Fax : (401) 793-8481
- Phone : (401) 793-8484
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | MD05525 | RI |
National Provider Identifier
| NPI | 1285630947 |
|---|---|
| Provider Name | Susan L Pakula |
| First Address | Lincoln, RI 02865-1168 |
| Second Address | Lincoln, RI 02865-1168 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2005 |
| Last Update Date | 21/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2067871 | (05) | MA |
| 7003061 | (05) | RI |
| D87546 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.