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Individual

DR. LARRY ALAN SUECOF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5 EXETER PARK, FARMINGTON, CT 06032-1555
(407) 417-7478
Mailing address
5 EXETER PARK, FARMINGTON, CT 06032-1555
(407) 417-7478

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000281
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
POOOO2293
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06-1406459
COLONIAL COOPERATIVE CARE
CT
01
0600211278
CONNECTICARE
CT
01
0724234 001
CIGNA
CT
01
0R3020
HEALTH NET
CT
01
1033104062
ANTHEM BCBS
CT
01
2534362
AETNA
CT
01
480000668
MEDICARE
01
P4041219
OXFORD
CT
Enumeration date
09/15/2005
Last updated
04/03/2025
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