Individual
SUSAN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 BROAD ST, NEW LONDON, CT 06320-5227
(860) 447-0661
Mailing address
6 GONCH FARM RD, LEDYARD, CT 06339-1100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010318
CT
Other
Enumeration date
03/26/2007
Last updated
04/13/2011
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