Healthcare Provider Details

I. General information

NPI: 1316523095
Provider Name (Legal Business Name): ANNABELLE YANWEN GUO MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL AVE
DANBURY CT
06810-6077
US

IV. Provider business mailing address

24 HOSPITAL AVE
DANBURY CT
06810-6077
US

V. Phone/Fax

Practice location:
  • Phone: 203-739-7900
  • Fax:
Mailing address:
  • Phone: 203-739-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number81681
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: