Whalio Doctors

NPI 1003376237

Ye Su, DO

Practitioner Neurology Physician Middletown, CT

Practice location

Address
80 S Main St STE 101, Middletown, CT 06457-3648
Phone
(860) 358-5970
Fax
(860) 358-8690
Mailing address
28 Crescent St, Middletown, CT 06457-3650

Registered specialties (2)

Neurology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 75478 (CT)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1003376237
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Mar 2019
Record last updated
12 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.