Individual
SUSAN MARY O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
869 BOSTON POST RD, MADISON, CT 06443-3144
(203) 520-3227
Mailing address
869 BOSTON POST RD, MADISON, CT 06443-3144
(203) 520-3227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035328
CT
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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