DR. SUSAN PRESTON TREDWELL MD NPI 1730143702

NPI Information

NPI: 1730143702
Provider Name: DR. SUSAN PRESTON TREDWELL, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
55 FRUIT STREET YAW 4 E
VINCENT OBGYN SERVICE
BOSTON, MA
ZIP 02114
Phone: (617) 724-6850
Get Directions

DR. Susan Preston Tredwell, MD is an obstetrics gynecology in Boston, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Susan Preston Tredwell, MD NPI is 1730143702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT STREET YAW 4 E
VINCENT OBGYN SERVICE
BOSTON, MA
ZIP 02114
Phone: (617) 724-6850
Fax: (617) 724-5843

The enumeration date for this NPI number is 4/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		58651	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E72844	MEDICARE UPIN
2	3164811	MEDICAID	MASSACHUSETTS
3	726460	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
4	317509	OTHER	MASSACHUSETTS	BCBS MA
5	A22263	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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