SUSAN M ELLES

MC DIAGNOSTIC OF CONNECTICUT PC

Dr SUSAN M ELLES is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.

Contact

MC DIAGNOSTIC OF CONNECTICUT PC

54 E HIGH ST
EAST HAMPTON
CT
064241052

Tel: 8663892727

SUSAN M ELLES Information

Npi 1972976553
Pac Id 3971806233
Professional Enrollment Id I20160120000451
Last Name ELLES
First Name SUSAN
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MC DIAGNOSTIC OF CONNECTICUT PC
Group Practice Pac Id 0941382113
Number Of Group Practice Members 53
Line 1 Street Address 54 E HIGH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST HAMPTON
State CT
Zip Code 064241052
Phone Number 8663892727
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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