Susan Polonsky Cable, PT
Individual provider Active NPI Specialist · Sharon, MA
NPI 1003947433 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003947433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1609 (MA)
- Practice address
- 43 Greenwood Rd
Sharon, MA 02067-1232 - Phone
- (781) 784-5258
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1609 | MA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1609 | MA | Yes |
Addresses
Primary practice location
43 Greenwood Rd
Sharon, MA 02067-1232
Mailing address
43 Greenwood Rd
Sharon, MA 02067-1232
Phone (781) 784-5258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y66610 | Other | MA | BCBS |
Other providers in Sharon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.