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Contact Information

KATHY NGO
1 LONG WHARF DR STE 302
NEW HAVEN, CT06511-5593
 Phone: 203-777-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHY NGO · (Female)

NPI # 1871157255
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2019
Last updated 12/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 4902
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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