Basic Information
| Provider Information | |||||||||
| NPI: | 1740288539 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | NEWHOUSE | ||||||||
| FirstName: | SUSAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 PRIMROSE ST | ||||||||
| Address2: | STE 202 | ||||||||
| City: | HAVERHILL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018302659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9785560100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2 WATER ST | ||||||||
| Address2: | CENTRAL PLAZA | ||||||||
| City: | HAVERHILL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018306223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9785560100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2005 | ||||||||
| LastUpdateDate: | 01/15/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 59289 | MA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.