person
David M Suhocki, PA
Medical Physician Assistant in Wolcott, Connecticut
NPI 1861483414

David M Suhocki is a Medical Physician Assistant based in Wolcott, CT and is specialized in Medical. David M Suhocki practices in Wolcott, CT and has the professional credentials of PA. The NPI Number for David M Suhocki is 1861483414 and holds a License No. 001103 (Connecticut).

The current practice location address for David M Suhocki is 464 Wolcott Rd, Wolcott, CT and can be reached out via phone at 203-879-6171 and via fax at 203-879-1191.

Location: 464 Wolcott Rd, Wolcott, CT, 06716-2626
person
Provider Profile Details
NPI Number
1861483414
Provider Name
David M Suhocki
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
464 Wolcott Rd, Wolcott, CT, 06716-2626
Phone Number
203-879-6171
Fax Number
203-879-1191
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2V4549 01 CO HEALTHNET
290001103CT02 01 CT ANTHEM BLUE CROSS
P00087222 01 CT RAILROAD MEDICARE
00422108200 01 CT BLUE CARE FAMILY PLAN
011030 01 CT CONNECTICARE
275591 01 CO WELLCARE
institution
Provider Business Practice Location Address Details
Address
464 Wolcott Rd
City
State
Zip
06716-2626
Phone Number
203-879-6171
Fax Number
203-879-1191
person
Provider Business Mailing Address Details
Address
464 Wolcott Rd
City
State
Zip
06716-2626
Phone Number
203-879-6171
Fax Number
203-879-1191
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001103 (Connecticut)
Definition
Definition to come...
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