Organization
DR.SUSAN WESTRUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN WESTRUP O.D. (PRESIDENT)
(203) 644-0804
Entity
Organization
Contact information
Practice address
1201 BOSTON POST RD, MILFORD, CT 06460-2703
(203) 644-0804
(203) 227-6212
Mailing address
26 LITTLE FOX LN, WESTPORT, CT 06880-1403
(203) 644-0804
(203) 227-6212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002050
CT
152W00000X
Optometrist
27OA00423800
NJ
152W00000X
Optometrist
TUV004169-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004142882
—
CT
Enumeration date
07/27/2010
Last updated
07/28/2010
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