Susan Lee (NPI# 1780887281, PAC ID# 1951626928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1780887281 |
| PAC ID by PECOS | 1951626928 |
| Professional Enrollment ID | I20150216000170 |
| Full Name | Susan Lee |
| Organization Legal Name | CONNECTICUT ORAL AND MAXILLOFACIAL SURGERY CENTERS, LLC |
| Address |
116 Washington Ave North Haven CT 06473-1721 |
| Phone Number | 2032397181 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 4486568409 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1817 Black Rock Tpke, Fairfield, CT 06825-3546 | 2033686600 | CONNECTICUT ORAL AND MAXILLOFACIAL SURGERY CENTERS, LLC |
| 116 Washington Ave, North Haven, CT 06473-1721 | 2032397181 | CONNECTICUT ORAL AND MAXILLOFACIAL SURGERY CENTERS, LLC |
| 323 Main St, West Haven, CT 06516-4424 | 2039377181 | CONNECTICUT ORAL AND MAXILLOFACIAL SURGERY CENTERS, LLC |
| Organization Legal Name | CONNECTICUT ORAL AND MAXILLOFACIAL SURGERY CENTERS, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott T Claiborne | Oral Surgery | Connecticut Oral and Maxillofacial Surgery Centers, LLC | 323 Main St, West Haven, CT 06516-4424 |
| Marie C Boucher | Oral Surgery | Connecticut Oral and Maxillofacial Surgery Centers, LLC | 10 Higgins Hwy 10, Mansfield Center, CT 06250-1437 |
| Erik M Sayles | Oral Surgery | Connecticut Oral and Maxillofacial Surgery Centers, LLC | 10 Higgins Hwy 10, Mansfield Center, CT 06250-1437 |
| Jeffrey S Berkley | Oral Surgery | Connecticut Oral and Maxillofacial Surgery Centers, LLC | 116 Washington Ave, North Haven, CT 06473-1721 |
| Paul R Rockoff | Oral Surgery | Connecticut Oral and Maxillofacial Surgery Centers, LLC | 323 Main St, West Haven, CT 06516-4424 |
| Babak Hakimizadeh | Oral Surgery | Connecticut Oral and Maxillofacial Surgery Centers, LLC | 323 Main St, West Haven, CT 06516-4424 |
| Jack Tse | Oral Surgery | Connecticut Oral and Maxillofacial Surgery Centers, LLC | 323 Main St, West Haven, CT 06516-4424 |
| Street Address |
116 WASHINGTON AVE |
| City | NORTH HAVEN |
| State | CT |
| Zip | 06473-1721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey E Quinn | Nurse Practitioner | Prohealth Physicians PC | 116 Washington Ave, Suite 2, North Haven, CT 06473-1721 |
| Jeffrey S Berkley | Oral Surgery | Connecticut Oral and Maxillofacial Surgery Centers, LLC | 116 Washington Ave, North Haven, CT 06473-1721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc W Platt | Chiropractic | 336 Washington Ave, North Haven, CT 06473-1306 | |
| Candice L S Pollack | Chiropractic | Advanced Physical Medicine, LLC. | 444 Washington Ave B, North Haven, CT 06473-1311 |
| Ernest F Santoro | Physical Therapy | 462 -470 Washington Ave, Units 1 3, North Haven, CT 06473-1311 | |
| Maxwell L S Mitchell | Chiropractic | Advanced Physical Medicine, LLC. | 444 Washington Ave B, North Haven, CT 06473-1311 |
| Lawrence Lefland | Optometry | 81 A Washington Ave, North Haven, CT 06473-1704 | |
| Duke S Yoo | Podiatry | Associated Podiatrists of North Haven | 83 Washington Ave, North Haven, CT 06473-1704 |
| Hollyann C Mcnabola | Clinical Social Worker | 130 Washington Ave, Upper Level, North Haven, CT 06473-1709 | |
| Mary M Colburn | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 162 Washington Ave, North Haven, CT 06473-1711 |
| Meighann A Recile-oglesby | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 162 Washington Ave, North Haven, CT 06473-1711 |
| Elizabeth J Mckinnell | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 162 Washington Ave, North Haven, CT 06473-1711 |
| Find all physicians in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| Specialty | ORAL SURGERY |
| City + Specialty | NORTH HAVEN + ORAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.