Ms. Peggy Suejin Myung
Dermatologist Dermatopathologist
15 York St Lmp 5031
New Haven
, Connecticut 06510-3221
Ms. Peggy Suejin Myung
Dermatologist Dermatopathologist
15 York St Lmp 5031
New Haven
, Connecticut 06510-3221
(215) 668-7559
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Ms. Peggy Suejin Myung
- 360 State St Apt 3103
- New Haven, CT
- Zip : 06510-3601
- Phone : (215) 668-7559
Second Address
- Ms. Peggy Suejin Myung
- 15 York St Lmp 5031
- New Haven, CT
- Zip : 06510-3221
- Phone : (215) 668-7559
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 52769 | CT |
| Y | 207ND0900X | Dermatopathologist | 52769 | CT |
National Provider Identifier
| NPI | 1063677474 |
|---|---|
| Provider Name | Ms. Peggy Suejin Myung |
| First Address | New Haven, CT 06510-3601 |
| Second Address | New Haven, CT 06510-3221 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2008 |
| Last Update Date | 22/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.