Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARISA YUE-TING SU, MD
ActivePediatric Orthopaedic Surgery · GREENWICH, CT
Registration Details
- NPI Number
- 1578024592
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2019 (7.0584082915159 yrs)
- Last Updated
- Sep 17, 2025
- License
-
CSP.0090486 (CT)
Practice Information
- Address
-
500 W PUTNAM AVE FL 2GREENWICH, CT, 068302937Browse CT providers · Browse ZIP 06830
- Phone
- 8779253637
- Primary Specialty
-
Pediatric Orthopaedic Surgery
207XP3100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.