Individual provider · Type 1 NPI

Susan St. Jacques, PA-C

Medical Physician Assistant · New Haven, CT

NPI number 1467494872 Active

Practice location

1450 Chapel St
New Haven, CT 06511-4405

Call (203) 789-3011 Map

Mailing address

33 N Mark Dr
Oxford, CT 06478-1565

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000445 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1467494872

Susan St. Jacques, PA-C's National Provider Identifier is 1467494872, issued on Jun 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Oct 11, 2007.