MEDICARE: SUZANNE E DUVAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	220526	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	467704	OTHER	MA	TUFTS HEALTH PLAN
3	AA13740	OTHER	MA	HARVARD COMMUNITY HEALTH
4	J27796	OTHER	MA	BLUE CROSS BLUE SHIELD
5	0926870001	OTHER	MA	CIGNA

General Provider Information

NPI Number	:	1366406704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE E DUVAL M.D.

Provider Business Mailing Address
First Line	:	820A TURNPIKE ST
Second Line	:	JEFFERSON OFFICE PARK
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6124
Country	:	US
Telephone Number	:	978-557-5712
Fax Number	:	978-557-5406

Provider Business Practice Location Address
First Line	:	820A TURNPIKE ST
Second Line	:	JEFFERSON OFFICE PARK
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6124
Country	:	US
Telephone Number	:	978-557-5712
Fax Number	:	978-557-5406

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	01/27/2011

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Directions to “ SUZANNE E DUVAL M.D.” Practice Location

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