IndividualActive
Marisa Su, MD
NPI 1578024592 · Pediatric Orthopaedic Surgery Physician · Greenwich, CT
Provider details
- NPI number
- 1578024592
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- CSP.0090486 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 W Putnam Ave Fl 2
Greenwich, CT 06830-2937
Phone: (877) 925-3637
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 208071
New Haven, CT 06520-8071
Registry dates
- Enumerated
- 2019-03-31
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.