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Individual

SUSAN CURILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT, HARTFORD, CT 06102-5037
(860) 545-5176
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2745
CT
363AM0700X
Medical Physician Assistant
Primary
002745
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003027455
CT
Enumeration date
01/23/2012
Last updated
04/04/2014
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