Individual
MRS. SUANNE KOLESNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
61 POMEROY AVE, MERIDEN, CT 06450-7101
(203) 694-5350
(203) 694-7650
Mailing address
61 POMEROY AVE, MERIDEN, CT 06450-7101
(203) 694-5350
(203) 694-7650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001945
CT
363AS0400X
Surgical Physician Assistant
Primary
001945
CT
Other
Enumeration date
01/07/2008
Last updated
03/07/2017
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