Individual provider · Type 1 NPI

Susan Fair, P.A.-C.

Physician Assistant · New Haven, CT

NPI number 1104868256 Active

Practice location

175 Sherman Ave, Fifth Floor
New Haven, CT 06511-4301

Fax (203) 789-5174

Mailing address

24 Woodward Ave, Unit 61
New Haven, CT 06512-3659

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X000082 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104868256

Susan Fair, P.A.-C.'s National Provider Identifier is 1104868256, issued on Jun 12, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New Haven, CT. The record was last updated on Jul 13, 2026.