Susan Potter Spencer

NPI #1730257049 in Waltham, Massachusetts

Provider Information

NPI Number: 1730257049
Entity Type: Individual
Name: Susan Potter Spencer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 118 CENTRAL ST
City: Waltham
State: Massachusetts
ZIP Code: 02453-5465
Phone: (781) 891-0556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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