Cho, Sungsil

Cho, Sungsil is an individual health care provider with primary practice located at 23 Clara Dr , Mystic CT 06355-1959. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cho, Sungsil can be contacted via phone (860) 572-5782.

Contact Information

Primary practice address
23 Clara Dr Mystic CT 06355-1959
Phone: (860) 572-5782
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 72263 Connecticut

Profile Details

NPI number 1437611696
LBN Legal business name Cho, Sungsil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2019
Last updated Nov 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437611696 NPPES
Rhode Island MEDICAID 1437611696
Rhode Island MEDICAID 1437611696

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