Individual
DR. ALBERT ICKSANG KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 COLLEGE ST, YALE SCHOOL OF PUBLIC HEALTH, NEW HAVEN, CT 06510-3201
(203) 785-6269
(203) 785-6193
Mailing address
60 COLLEGE ST, YALE SCHOOL OF PUBLIC HEALTH, NEW HAVEN, CT 06510-3201
(203) 785-6269
(203) 785-6193
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
1.054682
CT
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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