Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ML20008662 | WA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 238825 | MA |
NPI | 1043222185 |
---|---|
Provider Name | Susanne Baumeister |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 24/04/2009 |