Individual
DR. YONG NAM JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 WASHINGTON ST, ANESTHESIA DEPT, NORWICH, CT 06360-2719
(860) 823-6395
(860) 823-6563
Mailing address
325 WASHINGTON ST, ANESTHESIA DEPT, NORWICH, CT 06360-2719
(860) 823-6395
(860) 823-6563
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
029492
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001294925
—
CT
Enumeration date
01/20/2006
Last updated
12/08/2014
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