Individual
DR. SUZANNE K ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28 TUCKAWAY POND LN, COLCHESTER, VT 05446-1123
(802) 238-8811
(802) 879-2810
Mailing address
28 TUCKAWAY POND LN, COLCHESTER, VT 05446-1123
(802) 238-8811
(802) 879-2810
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042-0009572
VT
207P00000X
Emergency Medicine Physician
206794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01789537
—
NY
Enumeration date
01/15/2007
Last updated
07/13/2011
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