Individual
PEGGY KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
345 N MAIN ST, SUITE 242, WEST HARTFORD, CT 06117-2515
(860) 231-1644
(860) 231-8868
Mailing address
345 N MAIN ST, SUITE 242, WEST HARTFORD, CT 06117-2515
(860) 231-1644
(860) 231-8868
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
045402
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001454024
—
CT
01
—
040045402CT01
ANTHEM
CT
01
—
045402
PHYSICIAN LICENSE
CT
Enumeration date
05/31/2007
Last updated
10/07/2008
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