Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 044087 | CT |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 044087 | CT |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD046608 | DC |
NPI | 1033134093 |
---|---|
Provider Name | Guoyang Luo |
First Address | Farmington, CT 06030-0001 |
Second Address | Washington, DC 20060-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 10/11/2020 |