Individual
SUSAN KATHERYN DEMICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
831 BOSTON POST RD, STE. 670, MILFORD, CT 06460-3536
(203) 783-1831
Mailing address
831 BOSTON POST RD, STE. 670, MILFORD, CT 06460-3536
(203) 783-1831
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA21303
RI
Other
Enumeration date
07/21/2006
Last updated
02/22/2011
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