Individual
LEON HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL NEUROSURGERY DEPT, HARTFORD, CT 06102
(860) 545-1911
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001647
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030116474
—
CT
Enumeration date
05/04/2006
Last updated
09/24/2008
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