Individual
MS. SUSANNE SHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1031 FARMINGTON AVE, FARMINGTON, CT 06032
(860) 677-2550
(860) 677-4975
Mailing address
1031 FARMINGTON AVE, FARMINGTON, CT 06032
(860) 677-2550
(860) 677-4975
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
023080
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010023080CT05
ANTHEM BC
CT
01
—
234211
MAN HEALTH
—
01
—
P2146295
OXFORD
—
Enumeration date
03/23/2006
Last updated
12/17/2007
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