Dellert, Susan F

Dellert, Susan F is an individual health care provider with primary practice located at 11 South Rd Ste 120 , Farmington CT 06032-2483. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Dellert, Susan F can be contacted via phone (860) 837-6350.

Contact Information

Primary practice address
11 South Rd Ste 120 Farmington CT 06032-2483
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X MA06455000 New Jersey
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 31703 Connecticut

Profile Details

NPI number 1649353350
LBN Legal business name Dellert, Susan F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 2nd, 2018 - about 8 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 1649353350 NPPES
New Jersey MEDICAID 7812205

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