Individual
DR. SUSAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-2803
(860) 545-1500
Mailing address
252 BEAVER BROOK RD, LYME, CT 06371-3204
(860) 402-1090
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
040358
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001403584
—
CT
Enumeration date
08/31/2005
Last updated
02/14/2022
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