Individual
SUSAN H. FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4229
(860) 696-2400
(860) 696-2410
Mailing address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4229
(860) 696-2400
(860) 696-2410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000412
CT
363AM0700X
Medical Physician Assistant
Primary
000412
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548246069
NPI
CT
Enumeration date
12/16/2005
Last updated
12/19/2013
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