Individual
SERENA SUSAN SPUDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 YORK ST, DEPARTMENT OF NEUROLOGY, NEW HAVEN, CT 06510-3221
(203) 737-1969
Mailing address
PO BOX 208018, DEPARTMENT OF NEUROLOGY, NEW HAVEN, CT 06520-8018
(203) 737-1969
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A82451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A824510
—
CA
Enumeration date
05/20/2006
Last updated
08/26/2012
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