person
Chin Cheng Tai
Primary Care Nurse Practitioner in Southbury, Connecticut
NPI 1417300112

Chin Cheng Tai is a Primary Care Nurse Practitioner based in Southbury, CT and is specialized in Primary Care. Chin Cheng Tai practices in Southbury, CT. The NPI Number for Chin Cheng Tai is 1417300112 and holds a License No. 307846 (Connecticut).

The current practice location address for Chin Cheng Tai is 220 Main St S Ste 207, Southbury, CT and can be reached out via phone at 860-590-9592 and via fax at 860-413-0963.

Location: 220 Main St S Ste 207, Southbury, CT, 06488-2403
person
Provider Profile Details
NPI Number
1417300112
Provider Name
Chin Cheng Tai
Credential
Provider Entity Type
Individual
Gender
Male
Address
220 Main St S Ste 207, Southbury, CT, 06488-2403
Phone Number
860-590-9592
Fax Number
860-413-0963
Provider Enumeration Date
07/18/2016
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
220 Main St S Ste 207
City
State
Zip
06488-2275
Phone Number
860-590-9592
Fax Number
860-413-0963
person
Provider Business Mailing Address Details
Address
220 Main St S Ste 207
City
State
Zip
06488-2275
Phone Number
860-590-9592
Fax Number
860-413-0963
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
9385 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
307846 (New York)
Definition
Definition to come...
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