MEDICARE: MRS. EMINE SUONG RN

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	390200000X	Student in an Organized Health Care Education/Training Program	RN2295609	MA

General Provider Information

NPI Number	:	1083569057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMINE SUONG RN

Provider Business Mailing Address
First Line	:	623 REVERE BEACH PKWY
Second Line	:
City	:	REVERE
State	:	MA
Zip	:	02151-3920
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 WASHINGTON ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1552
Country	:	US
Telephone Number	:	617-636-5804
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1306546718 — KATHERINE NGUYEN
Practice Location Address:

800 WASHINGTON ST
BOSTON, MA
02111-1552

Practice Phone: 617-636-5000
Practice Fax:

1316892276 — ROBERT O'CONNOR PA-C
Practice Location Address:

800 WASHINGTON ST
BOSTON, MA
02111-1552

Practice Phone: 617-636-5000
Practice Fax:

1124029376 — RICHARD PAUL JUNGHANS MD
Practice Location Address:

800 WASHINGTON ST
BOSTON, MA
02111-1552

Practice Phone: 617-636-5982
Practice Fax:

1902891062 — PETER J CASTALDI M.D.
Practice Location Address:

800 WASHINGTON ST , BOX 63
BOSTON, MA
02111-1552

Practice Phone: 617-636-5000
Practice Fax:

1417942053 — ANNE STACIE COLWELL MD
Practice Location Address:

800 WASHINGTON ST , SUITE 334 CENTER FOR CHILDREN WTH SPECIAL NEEDS
BOSTON, MA
02111-1552

Practice Phone: 617-636-7242
Practice Fax: 617-636-7242

Directions to “ MRS. EMINE SUONG RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.