NPI 1912930298 · live from the CMS NPI Registry
Susan Annette Abruzzino, pac
Physician Assistant, Medical in Bridgeport, WV. National Provider Identifier 1912930298, active.
NPI record
| NPI | 1912930298 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | Louis A Johnson Vamc, 1 Medical Center Drive, Bridgeport, WV 26301 |
| Practice phone | 304-623-7682 |
| Mailing address | 117 Carriage Ln, Bridgeport, WV 26330 |
| Enumerated | July 9, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.