NPI 1003376237
Ye Su, DO
Practice location
- Address
- 80 S Main St STE 101, Middletown, CT 06457-3648
- Phone
- (860) 358-5970
- Fax
- (860) 358-8690
- Mailing address
- 28 Crescent St, Middletown, CT 06457-3650
Registered specialties (2)
Neurology Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1003376237
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Mar 2019
- Record last updated
- 12 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.