Individual
DR. SUSAN J DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
44 PROSPECT HILL RD, EAST WINDSOR, CT 06088-9501
(860) 623-8013
(860) 627-6433
Mailing address
31 WATCHAUG RD, SOMERS, CT 06071-1118
(860) 763-4792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2404
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004157493
—
CT
Enumeration date
02/01/2007
Last updated
10/18/2013
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