Provider Demographics
NPI:1730157298
Name:JOREY, SUZANNE T (MD)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:T
Last Name:JOREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:46 DAGGETT DR
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4638
Mailing Address - Country:US
Mailing Address - Phone:413-747-4544
Mailing Address - Fax:413-747-4552
Practice Address - Street 1:46 DAGGETT DR
Practice Address - Street 2:SUITE 3B
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4638
Practice Address - Country:US
Practice Address - Phone:413-747-4544
Practice Address - Fax:413-747-4552
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA154665207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine