Individual
FLORENCE IDA HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
217989
MA
207K00000X
Allergy & Immunology Physician
49738
CT
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
217989
MA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
49738
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119242
—
MA
Enumeration date
05/03/2006
Last updated
06/15/2020
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