Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mack Su

Individual provider Dermatology Physician · NPI 1023698271

Mack Su is a Dermatology in Boston, Massachusetts. Qualified in 2021, 5 years ago. Works from 3 locations. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 50 Staniford St, Boston, MA 02114-2517 — (617) 726-2914
  • 55 Fruit St, Boston, MA 02114-2621 — (617) 643-0800

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 1022550 (MA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 1022550 (MA)

Record details

NPI number1023698271
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesPATHOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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