Individual
SUSAN NALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
445 HOGAN RD, HAMDEN, CT 06518-1927
(203) 230-9823
Mailing address
445 HOGAN RD, HAMDEN, CT 06518-1927
(203) 230-9823
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
037472
CT
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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