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Provider Information for 1932423902

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SUSAN CATHERINE LIPSETT MD

Gender: FEMALE

Individual NPI: 1932423902

Calendar   Last Updated:  2021-07-12
  Certification Date:  2021-07-12

Details

Name Value
NPI 1932423902
Enumeration Date 2010-03-19
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVENUE DIVISION OF EMERGENCY MEDICINE
BOSTON, MA 02115
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-6624 | Fax:
View Map External Link
Secondary Practice Address 55 FOGG RD
WEYMOUTH, MA 02190-2455
United States

Phone: 781-624-4075 | Fax:
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Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0204X - Pediatrics Pediatric Emergency Medicine MA 254181
No 208000000X - Pediatrics MA 254181
No 390200000X - Student in an Organized Health Care Education/Training Program