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Individual

SUEANNE C FAUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL NEUROSURGERY DEPT, HARTFORD, CT 06102
(860) 545-1911
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000891
CT

Other

Enumeration date
10/05/2006
Last updated
02/21/2008
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