Individual
JONG GIL OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 FARM SPRINGS RD, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333
Mailing address
52 PECK RD, TORRINGTON, CT 06790-6107
(860) 489-6899
(890) 489-1206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045845
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245296573
—
CT
Enumeration date
04/25/2006
Last updated
08/19/2011
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