Individual
MR. ANDREW PAUL SUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MSC
Contact information
Practice address
331 MAINE ST, SUITE 23, BRUNSWICK, ME 04011-3358
(207) 729-0134
Mailing address
331 MAINE ST, SUITE 23, BRUNSWICK, ME 04011-3358
(207) 729-0134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA001095
ME
363AM0700X
Medical Physician Assistant
Primary
PA1095
ME
Other
Enumeration date
08/24/2007
Last updated
06/03/2022
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