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Individual

SUSAN R LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5 DURHAM RD, SUITE 1-7, GUILFORD, CT 06437
(203) 453-2181
(203) 453-8993
Mailing address
5 DURHAM RD, SUITE 1-7, GUILFORD, CT 06437
(203) 453-2181
(203) 453-8993

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
026435
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001264357
CT
Enumeration date
02/28/2006
Last updated
10/30/2008
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