Peng, John
Peng, John is an individual health care provider with primary practice located at 282 Washington St , Hartford CT 06106-3322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Peng, John can be contacted via phone (860) 545-9200.Contact Information
Primary practice address
282 Washington St
Hartford CT 06106-3322
Phone: (860) 545-9200
Fax: (860) 545-9134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 039517 | Connecticut |
Profile Details
| NPI number | 1174598676 |
|---|---|
| LBN Legal business name | Peng, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Sep 22nd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174598676 | NPPES |
| Connecticut | MEDICAID | 001395179 |
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