Individual
SUSAN E HALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LIBERTY SQ, NEW BRITAIN, CT 06051-2636
(860) 827-1343
(860) 827-1812
Mailing address
1 LIBERTY SQ, NEW BRITAIN, CT 06051-2636
(860) 827-1343
(860) 827-1812
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
027920
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1279208
—
CT
Enumeration date
01/27/2006
Last updated
10/03/2007
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