Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 232312 | MA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | DR.0054638 | CO |
NPI | 1093975831 |
---|---|
Provider Name | Dr. Sunah Susan Hwang |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 10/12/2019 |