Most Relevant Information
Provider Data
| NPI Number: | 1003229725 |
| Provider Name: | SUSAN BORN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 2271223 |
Most Important Dates
| Enumeration Date: | 06/10/2014 |
| Last Updated: | 06/10/2014 |
Provider Practice Location
529 MAIN ST
SUITE 216
CHARLESTOWN
MA
021291125
Practice Location Phone/Fax
| Phone: | 6174260600 |
| Fax: |
Provider Mailing Location
18 SCHOOL ST
ARLINGTON
MA
024766122
Provider Mailing Phone/Fax
| Phone: | 6174484179 |
| Fax: |