Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 56907 | MA |
Y | 2080P0214X | Pediatric Pulmonologist | 56907 | MA |
NPI | 1366426272 |
---|---|
Provider Name | Suzanne F Steinbach |
First Address | Boston, MA 02118-2908 |
Second Address | Boston, MA 02118-4001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 12/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3017001 | (05) | MA |
E10888 | (02) |