Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125066389 | IL |
N | 111NI0900X | Internist | 125066389 | IL |
Y | 2080P0201X | Pediatric Allergist | 62250 | CO |
NPI | 1407240658 |
---|---|
Provider Name | Suzanne Ngo |
First Address | Aurora, CO 80045-7106 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 27/04/2020 |