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Individual

MS. SUSANNAH M BERNHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CTR, NEW HAVEN, CT 06513
(203) 777-7411
(203) 777-8506
Mailing address
196 LAWRENCE ST, NEW HAVEN, CT 06511
(203) 781-8406

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043090
CT

Other

Enumeration date
08/21/2006
Last updated
07/08/2007
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