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Provider Information for 1033520556

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

HAO FENG M.D.

Gender: MALE

Individual NPI: 1033520556

Calendar   Last Updated:  2019-09-05
  Certification Date: 

Details

Name Value
NPI 1033520556
Enumeration Date 2014-05-19
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 263 FARMINGTON AVENUE
FARMINGTON, CT 06030-8082
United States

Phone: 860-679-4600 | Fax: 860-679-6231
View Map External Link
Primary Practice Address 21 SOUTH ROAD
FARMINGTON, CT 06030
United States

Phone: 860-679-4600 | Fax: 860-679-6231
View Map External Link
Secondary Practice Address 317 E 34TH ST FL 11
NEW YORK, NY 10016-4996
United States

Phone: 212-686-7306 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207N00000X - Dermatology CT 062154
No 390200000X - Student in an Organized Health Care Education/Training Program NY
No 390200000X - Student in an Organized Health Care Education/Training Program CT