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
Fax: (860) 545-9134
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174598676 NPPES
Connecticut MEDICAID 001395179

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