Individual
JEELU SUSAN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 MIDDLE TPKE W, MANCHESTER, CT 06040-3816
(860) 533-4176
(860) 649-5219
Mailing address
515 MIDDLE TPKE W, MANCHESTER, CT 06040-3816
(860) 533-4176
(860) 649-5219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14104
CT
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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