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SUSAN M BORDONARO
51 LONG WHARF MALL NEWPORT RI 28402906

SUSAN M BORDONARO is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1366547358. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 648211466. The primary specialty is NURSE PRACTITIONER. The organization is ASPIRE DERMATOLOGY LLC. The address is 51 LONG WHARF MALL, , NEWPORT, RI, 28402906. The zip code is 28402906.


Nation Provider ID1366547358
PAC ID by PECOS648211466
Professional Enrollment IDI20050520000924
NameSUSAN M BORDONARO
Medical School NameOTHER
Graduation Year1999
Primary SpecialtyNURSE PRACTITIONER
All secondary specialties
Organization NameASPIRE DERMATOLOGY LLC
Group Practice PAC ID1759550643
Number of Group Practice members2
Address51 LONG WHARF MALL, , NEWPORT, RI, 28402906
Hospital affiliation LBNNEWPORT HOSPITAL
Graduation Year1999
Contact Number4012391800
Email Address[Show_Email_ID]

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