Healthcare Provider Details

I. General information

NPI: 1508939844
Provider Name (Legal Business Name): SUZANNE BIRD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 WOLCOTT ST
AUBURNDALE MA
02466-1514
US

IV. Provider business mailing address

432 WOLCOTT ST
AUBURNDALE MA
02466-1514
US

V. Phone/Fax

Practice location:
  • Phone: 617-462-6938
  • Fax:
Mailing address:
  • Phone: 617-462-6938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number58691
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: