Healthcare Provider Details

I. General information

NPI: 1669388864
Provider Name (Legal Business Name): CONTINUUM POST ACUTE PHYSICIAN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 SOMERSET DR
AVON CT
06001-3003
US

IV. Provider business mailing address

95 SOMERSET DR
AVON CT
06001-3003
US

V. Phone/Fax

Practice location:
  • Phone: 860-921-8788
  • Fax: 650-889-4011
Mailing address:
  • Phone: 860-921-8788
  • Fax: 650-889-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JONG GIL OH
Title or Position: OWNER
Credential: MD
Phone: 860-921-8788