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1417360033
STEPHANIE LYNN SUSAVAGE
BRIDGEPORT, CT
NPI
1417360033
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Former Name
STEPHANIE LYNN MASSEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: PA MA056887)
Enumeration Date
2014-06-11
Last Update Date
2024-11-22
Business Address
Ms. STEPHANIE LYNN SUSAVAGE PA-C
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 203-576-5708
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Mailing Address
Ms. STEPHANIE LYNN SUSAVAGE PA-C
615 MINSI TRL
PERKASIE, PA 18944-3151
Phone number: 215-622-0587
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