person
Susan K Licht, PAC
Medical Physician Assistant in Newtown, Connecticut
NPI 1447227798

Susan K Licht is a Medical Physician Assistant based in Newtown, CT and is specialized in Medical. Susan K Licht practices in Newtown, CT and has the professional credentials of PAC. The NPI Number for Susan K Licht is 1447227798 and holds a License No. 000032 (Connecticut).

The current practice location address for Susan K Licht is 172 Mount Pleasant Rd, Newtown, CT and can be reached out via phone at 203-426-8442 and via fax at 203-426-6320.

Location: 172 Mount Pleasant Rd, Newtown, CT, 06470-1443
person
Provider Profile Details
NPI Number
1447227798
Provider Name
Susan K Licht
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
172 Mount Pleasant Rd, Newtown, CT, 06470-1443
Phone Number
203-426-8442
Fax Number
203-426-6320
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
172 Mount Pleasant Rd
City
State
Zip
06470-1443
Phone Number
203-426-8442
Fax Number
203-426-6320
person
Provider Business Mailing Address Details
Address
172 Mount Pleasant Rd
City
State
Zip
06470-1443
Phone Number
203-426-8442
Fax Number
203-426-6320
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000032 ()
Definition
Definition to come...
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