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Individual
THERESA LIAO
Active
Individual
THERESA LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037960
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010037960CT04
ANTHEM BCBS
—
01
—
236972503
UNITED HEALTHCARE
—
01
—
2659952
AETNA US HEALTH
—
01
—
735258
CONNECTICARE
—
01
—
7427410001
CIGNA
—
01
—
P2575218
OXFORD
—
Enumeration date
09/11/2006
Last updated
03/15/2012
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