Individual
SUSAN HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
Mailing address
69 POPE ST, NEW HAVEN, CT 06512-3655
(857) 294-3467
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7466
CT
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
03/26/2026
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