Provider Demographics
NPI:1548392020
Name:POON, SAMUEL HONG (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:HONG
Last Name:POON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HONG WAH
Other - Middle Name:SAMUEL
Other - Last Name:POON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:HARRINGTON MEMORIAL HOSPITAL
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-0040
Mailing Address - Country:US
Mailing Address - Phone:508-909-7799
Mailing Address - Fax:508-764-2432
Practice Address - Street 1:340 THOMPSON RD
Practice Address - Street 2:HARRINGTON PHYSICIAN SERVICES
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-1509
Practice Address - Country:US
Practice Address - Phone:508-943-5132
Practice Address - Fax:508-943-5209
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP00470207R00000X
MA231935207RR0500X
RI13006207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine