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Contact Information

SUZANNE PENDER, MD
1153 CENTRE ST
RADIOLOGY FAULKNER HOSPITAL
BOSTON, MA02130
 Phone: 617-983-7090
 Fax: 617-983-7091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SUZANNE PENDER · (Female)

NPI # 1366428088
Status Active
Credentials MD
Entity Individual
Enumeration date 12/15/2005
Last updated 09/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 72463
  • MA Medicaid 3070808
  • MA Other J10285 BLUE CROSS BLUE SHIELD
  • MA Other 072463 TUFTS
Hospital affiliation(s)
  • BRIGHAM AND WOMEN'S HOSPITAL - (Acute Care)
    75 FRANCIS STREET
    BOSTON, MA 02115
  • DANA-FARBER CANCER INSTITUTE - (Acute Care)
    450 BROOKLINE AVENUE
    BOSTON, MA 02115
  • FAULKNER HOSPITAL - (Acute Care)
    1153 CENTRE STREET
    BOSTON, MA 02130
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
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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