Burroughs, Susan F

Burroughs, Susan F is an sole proprietor health care provider with primary practice located at 400 Talcottville Rd # 1 , Vernon CT 06066-4051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Burroughs, Susan F can be contacted via phone (860) 896-4718.

Contact Information

Primary practice address
400 Talcottville Rd # 1 Vernon CT 06066-4051
Fax: (860) 896-1426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 030948 Connecticut

Profile Details

NPI number 1790781078
LBN Legal business name Burroughs, Susan F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Sep 4th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790781078 NPPES
Connecticut MEDICAID 001309485

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