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Contact Information

SUSAN F BURROUGHS, MD
400 TALCOTTVILLE RD # 1
VERNON, CT06066-4051
 Phone: 860-896-4718
 Fax: 860-896-1426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUSAN F BURROUGHS · (Female)

NPI # 1790781078
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2005
Last updated 09/04/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 030948
  • CT Medicaid 001309485
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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