Individual provider · NPI-1

Sean Xiang Gu, MD, PhD

Pathology, Hematology · New Haven, CT

NPI number1497245930
StatusActive
Last updated in NPPESMay 16, 2022

Details

NPI
1497245930
Entity type
Individual (NPI-1)
Name
Sean Xiang Gu
Credential
MD, PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 10, 2018
Certification date
May 16, 2022
Last updated
May 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZH0000X Pathology, Hematology69959CTYes
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine69959CT

Practice location

20 York Street
Ynhh And Department Of Laboratory Medicine
New Haven, CT 06510-3220

Phone 203-688-4242

Mailing address

20 York Street
Ynhh - Tompkins 226
New Haven, CT 06510-3220

Phone 203-688-4242

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