Individual
DR. SUSANNA HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
536 SAYBROOK RD, MIDDLETOWN, CT 06457-4712
(860) 358-2220
(860) 358-2222
Mailing address
536 SAYBROOK RD, MIDDLETOWN, CT 06457-4712
(860) 358-2220
(860) 358-2222
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
040659
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001406596
—
CT
01
—
010040659CT02
BLUECARE FAMILY PLAN
CT
Enumeration date
09/15/2006
Last updated
09/12/2014
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