Susan K Licht, P.A.C.
NPI #1447227798 in Newtown, Connecticut
Provider Information
- NPI Number
- 1447227798
- Entity Type
- Individual
- Name
- Susan K Licht, P.A.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.C.
- Enumeration Date
- Mar 7, 2006
- Last Updated
- Jan 23, 2008
Practice Location
- Address
- 172 MOUNT PLEASANT RD
- City
- Newtown
- State
- Connecticut
- ZIP Code
- 06470-1443
- Phone
- (203) 426-8442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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