Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35063 | MA |
N | 208600000X | Surgeon | 35063 | MA |
Y | 2086S0129X | Vascular Surgeon | 35063 | MA |
NPI | 1083695878 |
---|---|
Provider Name | Dr. Sang W Rhee |
First Address | Springfield, MA 01199-1001 |
Second Address | Springfield, MA 01107-1137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 20/05/2016 |