Provider Demographics
NPI:1205395340
Name:HO, ERICA (MS, MPHIL)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:MS, MPHIL
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:JIAWEN
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, MPHIL
Mailing Address - Street 1:2 HILLHOUSE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:405 TEMPLE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-8912
Practice Address - Country:US
Practice Address - Phone:203-432-4520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program