Hong, Susanna

Hong, Susanna is an individual health care provider with primary practice located at 536 Saybrook Rd , Middletown CT 06457-4712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Hong, Susanna can be contacted via phone (860) 358-2220.

Contact Information

Primary practice address
536 Saybrook Rd Middletown CT 06457-4712
Phone: (860) 358-2220
Fax: (860) 358-2222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 040659 Connecticut

Profile Details

NPI number 1790881803
LBN Legal business name Hong, Susanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Sep 12th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790881803 NPPES
Connecticut Other 010040659CT02 BLUECARE FAMILY PLAN
Connecticut Other 010040659CT02 BLUECARE FAMILY PLAN
Connecticut MEDICAID 001406596 BLUECARE FAMILY PLAN

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