Basic Information
| Provider Information | |||||||||
| NPI: | 1548392020 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POON | ||||||||
| FirstName: | SAMUEL | ||||||||
| MiddleName: | HONG | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | POON | ||||||||
| OtherFirstName: | HONG WAH | ||||||||
| OtherMiddleName: | SAMUEL | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 40 | ||||||||
| Address2: | HARRINGTON MEMORIAL HOSPITAL | ||||||||
| City: | SOUTHBRIDGE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 015500040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5089097799 | ||||||||
| FaxNumber: | 5087642432 | ||||||||
| Practice Location | |||||||||
| Address1: | 340 THOMPSON RD | ||||||||
| Address2: | HARRINGTON PHYSICIAN SERVICES | ||||||||
| City: | WEBSTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 015701509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5089435132 | ||||||||
| FaxNumber: | 5089435209 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2007 | ||||||||
| LastUpdateDate: | 08/04/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | LP00470 | RI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RR0500X | 231935 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 207RR0500X | 13006 | RI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.