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

Individual provider Emergency Medicine Physician · NPI 1811519697

Susannah Boulet, DO is an Emergency Medicine Physician in Providence, Rhode Island. Works from 2 locations. Licensed in Pennsylvania and Rhode Island.

Licensed in
PA, RI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

593 Eddy St Claverick 2
Providence, RI 02903
Phone: (401) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 232 W 25th St, Erie, PA 16544-0002 — (814) 452-5000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DO01238 (RI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OT020113 (PA)

Record details

NPI number1811519697
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESJune 20, 2023
Certification dateJune 7, 2023
Mailing address125 Whipple St Ste 3, Providence, RI 02908-3258

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