Individual provider · Type 1 NPI

Susan Mary Decaluwe

Specialist · Watertown, MA

NPI number 1740869122 Active

Practice location

175 N Beacon St
Watertown, MA 02472-2790

Mailing address

66 Beechwood Avenue
Watertown, MA 02472

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1740869122

Susan Mary Decaluwe's National Provider Identifier is 1740869122, issued on Apr 5, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Watertown, MA. The record was last updated on Apr 5, 2021.