Individual
SUSANNE GODSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1180 NEWFIELD AVE, STAMFORD, CT 06905-1409
(314) 888-5233
Mailing address
1180 NEWFIELD AVE, STAMFORD, CT 06905-1409
(314) 888-5233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3168
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04686055
—
CO
Enumeration date
03/30/2011
Last updated
03/17/2023
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