Provider Demographics
NPI:1013054352
Name:TUROTSY, SUSAN DEMELIS (PAC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:DEMELIS
Last Name:TUROTSY
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:M
Other - Last Name:DEMELIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1563 POST RD EAST
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880
Mailing Address - Country:US
Mailing Address - Phone:203-319-3939
Mailing Address - Fax:203-319-3966
Practice Address - Street 1:1563 POST RD EAST
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880
Practice Address - Country:US
Practice Address - Phone:203-319-3939
Practice Address - Fax:203-319-3966
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
000427363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical