Individual
MRS. SUSAN MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
170 HAZARD AVENUE, ENFIELD, CT 06082
(860) 749-2022
(860) 763-1398
Mailing address
170 HAZARD AVENUE, ENFIELD, CT 06082
(860) 749-2022
(860) 763-1398
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001371
CT
Other
Enumeration date
11/01/2006
Last updated
01/18/2011
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