Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 230791 | MA |
N | 111NI0900X | Internist | 230791 | MA |
Y | 207RA0401X | Internist - Addiction Medicine | 230791 | MA |
NPI | 1013069962 |
---|---|
Provider Name | Hung K Do |
First Address | Dorchester, MA 02124-2105 |
Second Address | Dorchester, MA 02124-2105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 09/01/2020 |