Individual
SUZANNE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
(860) 545-9969
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
(860) 545-9969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000048
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010048
CONNECTICARE
CT
01
—
1181599
USA
CT
01
—
2472591
COVENTRY
CT
01
—
4645788
AETNA
CT
01
—
PENDING
RR MEDICARE
CT
Enumeration date
02/14/2006
Last updated
07/17/2014
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