Susanne Harrison, M.D.
Individual provider Active NPI Internal Medicine Physician · Colebrook, CT
NPI 1154774743 · NPPES record last updated Jul 19, 2016
Key facts
- NPI
- 1154774743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036190 (CT)
- Practice address
- 897 Colebrook Rd
Colebrook, CT 06021-1021 - Phone
- (860) 605-7969
- Fax
- (860) 605-7969
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036190 | CT | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036190 | CT | Yes |
Addresses
Primary practice location
897 Colebrook Rd
Colebrook, CT 06021-1021
Mailing address
897 Colebrook Rd
Colebrook, CT 06021-1021
Phone (860) 605-7969
Other providers in Colebrook, CT
- Agape Counseling Services LLC
- Continence Care, LLC
- Ferrari Behavioral and Advocacy Services
- Barbara Meeker
- Destiny Elizabeth St. Amand
- Molly Toomey
- Lynn Walton Whelchel Jr.
All providers in Colebrook, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.