Individual
JEANINE KAWI SUCHECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, UCONN/OPTHALMOLOGY ASSOCIATES, FARMINGTON, CT 06030-0001
(860) 679-3540
(860) 679-1390
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
033618
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336181
—
CT
Enumeration date
12/02/2005
Last updated
11/07/2022
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