Individual
SUSAN G ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18 CARRIAGE HILL ROAD, WOODBRIDGE, CT 06525
(203) 393-2012
Mailing address
18 CARRIAGE HILL RD, WOODBRIDGE, CT 06525
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
036570
CT
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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