Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 027886 | CT |
NPI | 1003807769 |
---|---|
Provider Name | Dr. Sung-Chil Hong |
First Address | East Hartford, CT 06108-3212 |
Second Address | East Hartford, CT 06108-3212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 17/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001278862 | (05) | CT |
E17526 | (02) |