Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | 2243 | ME |
N | 2082S0105X | Plastic Hand Surgeon | 266044-1 | NY |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 53557 | CT |
NPI | 1043508443 |
---|---|
Provider Name | Dr. John Jiun Ho |
First Address | Mount Kisco, NY 10549-3417 |
Second Address | Bristol, CT 06010-6379 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2011 |
Last Update Date | 07/01/2015 |