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Individual

SUSAN ANN HERSON

Active
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Individual

SUSAN ANN HERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046120
CT
207R00000X
Internal Medicine Physician
Primary
225459-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1649263880
NPI, NORWALK HOSPITAL
CT
Enumeration date
01/07/2008
Last updated
03/25/2015
Update your record

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