Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 217989 | MA |
N | 207K00000X | Allergist & Immunologist | 49738 | CT |
N | 207RA0201X | Internist - Allergy & Immunology | 217989 | MA |
Y | 207RA0201X | Internist - Allergy & Immunology | 49738 | CT |
NPI | 1205894607 |
---|---|
Provider Name | Florence Ida Hsu |
First Address | New Haven, CT 06520-8013 |
Second Address | North Haven, CT 06473-2222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 15/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2119242 | (05) | MA |
I64283 | (02) |