Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036340 | CT |
N | 111NI0900X | Internist | 036340 | CT |
Y | 207RG0300X | Geriatric Medicine | 036340 | CT |
NPI | 1043544596 |
---|---|
Provider Name | Dr. Susann Varano I |
First Address | New Haven, CT 06519-1106 |
Second Address | New Haven, CT 06519-1106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2009 |
Last Update Date | 26/03/2013 |