Individual
DR. SUSAN F BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 TALCOTTVILLE RD # 1, VERNON, CT 06066-4051
(860) 896-4718
(860) 896-1426
Mailing address
196 PARKWAY S, SUITE 304, WATERFORD, CT 06385-1234
(860) 442-7027
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
030948
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001309485
—
CT
Enumeration date
06/22/2005
Last updated
09/04/2007
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