Susan L Donnelly in Hartford - Physician Assistant

Susan L Donnelly - NPI 1821184656

Susan L Donnelly is a Physician Assistant in Hartford, Connecticut. Susan L Donnelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan L Donnelly is 1821184656. The last update date is 2008-08-06.

Susan L Donnelly's current location address is Po Box 40000, Hartford, Connecticut. You can contact this provider via phone number 8605457602. The mailing address for Susan L Donnelly is Po Box 40000, Hartford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan L Donnelly
Address Po Box 40000, Hartford, Connecticut
Phone Number 8605457602
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1821184656
Provider Enumeration Date 2006-10-05
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address Po Box 40000
City Hartford
State Connecticut (CT)
Post Code 61510001
Phone Number 8605457602
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 935
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3009354 CT --

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FAQs about Susan L Donnelly

Can you provide the Susan L Donnelly's physical address?

The Susan L Donnelly is physically located at Po Box 40000, in the city of Hartford, CT, with the postal code 61510001.

What is Susan L Donnelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susan L Donnelly is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Susan L Donnelly receive its 1821184656 assignment from the Centers for Medicare & Medicaid Services?

The Susan L Donnelly was assigned its 1821184656 by the Centers for Medicare & Medicaid Services on 2006-10-05.

As of what date were the Susan L Donnelly's details last updated?

The information pertaining to the Susan L Donnelly, including its address, specialty, and other details, was most recently updated on 2008-08-06.

As of what date were the details related to Susan L Donnelly most recently updated or revised?

The information pertaining to Susan L Donnelly, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-06.

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