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Contact Information

MACK SU
75 FRANCIS ST
BOSTON, MA02115-6110
 Phone: 617-732-5775
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MACK SU · (Male)

NPI Number 1023698271
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2021
Last updated 05/21/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • MA License # 1022550
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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