| Doctor Name: | SUSAN JUSTICE |
| NPI Number: | 1366886301 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 005321 |
| Business Practice Address: | 100 Grand St New Britain, CT - 060522016 |
| Business Phone Number: | 8602245011 |
| Business Fax Number: | |
| Mailing Address: | 101 Wildcat Rd, BURLINGTON |
| State: | CT |
| Postal Code: | 060132430 |
| Phone Number: | 8606759844 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2013 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 005321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |