| Dr Sungsil Cho, MD | |
|
23 Clara Dr, Mystic, CT 06355-1959 | |
| (860) 572-5782 | |
| Not Available |
| Full Name | Dr Sungsil Cho |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 23 Clara Dr, Mystic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437611696 | NPI | - | NPPES |
| 1437611696 | Medicaid | RI | |
| 1437611696 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 72263 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sungsil Cho, MD 99 Hawley Ln Fl 3, Stratford, CT 06614-1202 Ph: (860) 572-5782 | Dr Sungsil Cho, MD 23 Clara Dr, Mystic, CT 06355-1959 Ph: (860) 572-5782 |
Dr. Harold Eugene Phillips Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 860-536-6442 Fax: 860-536-6442 | |
Etny Raul Candelario, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Perkins Farm Dr Ste 203, Mystic, CT 06355 Phone: 860-576-8911 Fax: 860-572-7758 | |
Brandi Lynn Iovino, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 E Main St, Mystic, CT 06355 Phone: 860-572-2988 | |
Dr. Michael J Feltes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 860-536-6442 Fax: 860-536-6442 |