Susan F Burroughs, MD
Individual provider Active NPI Hematology & Oncology Physician · Vernon, CT
NPI 1790781078 · NPPES record last updated Sep 4, 2007
Key facts
- NPI
- 1790781078
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 030948 (CT)
- Practice address
- 400 Talcottville Rd # 1
Vernon, CT 06066-4051 - Phone
- (860) 896-4718
- Fax
- (860) 896-1426
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis Morgan MD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 030948 | CT | Yes |
Addresses
Primary practice location
400 Talcottville Rd # 1
Vernon, CT 06066-4051
Mailing address
196 Parkway S
Suite 304
Waterford, CT 06385-1234
Phone (860) 442-7027
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001309485 | Medicaid | CT |
Other providers in Vernon, CT
- Brian P. Deschamps, DPM
- Brian P. Deschamps, DPM
- Jamara Brown
- Jacob Sydney Burns
- Jeffrey A Burns
- Hubert Sutton Bush Jr.
- Paul I Bush
- Kristen Buteau
- Gary Irwin Bykoff
- Tracy Bylan
All providers in Vernon, CT · Hematology & Oncology 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 Sep 4, 2007. 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.