Individual
SUSAN M KAMOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
206 SOUTH STREET, SMR HEALTH CARE, FAIRFIELD, CT 06824
(203) 255-3367
Mailing address
206 SOUTH STREET, FAIRFIELD, CT 06824-5906
(203) 255-3367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
001830
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236718
—
CT
Enumeration date
05/24/2005
Last updated
03/13/2023
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