Basic Information
Provider Information
NPI: 1033134093
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LUO
FirstName: GUOYANG
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 263 FARMINGTON AVE
Address2:  
City: FARMINGTON
State: CT
PostalCode: 060300001
CountryCode: US
TelephoneNumber: 8606792792
FaxNumber: 8606791494
Practice Location
Address1: 2041 GEORGIA AVE NW STE 1700
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200600001
CountryCode: US
TelephoneNumber: 2028654164
FaxNumber: 2028657407
Other Information
ProviderEnumerationDate: 07/12/2006
LastUpdateDate: 11/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X044087CTN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VM0101X044087CTN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
207VM0101XMD046608DCY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

No ID Information.


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