Individual
MS. SUZZUNNE NICOLE DECRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
235 BOSTON POST RD STE 202, ORANGE, CT 06477-3229
(203) 799-1252
(203) 799-3252
Mailing address
235 BOSTON POST RD STE 202, ORANGE, CT 06477-3229
(203) 799-1252
(203) 799-3252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001433
CT
363AM0700X
Medical Physician Assistant
001433
CT
Other
Enumeration date
06/06/2007
Last updated
04/11/2025
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