Individual
MS. STEPHANIE LYNN SUSAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5708
(203) 367-8392
Mailing address
615 MINSI TRL, PERKASIE, PA 18944-3151
(215) 622-0587
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6860
CT
363AS0400X
Surgical Physician Assistant
MA056887
PA
Other
Enumeration date
06/11/2014
Last updated
07/30/2025
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