Individual
KUANG-WEN TSAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4720
(860) 358-6741
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4720
(860) 358-6741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042991
CT
208M00000X
Hospitalist Physician
042991
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01405528
COVENTRY
CT
01
—
042991
CT LICENSE
CT
01
—
05898265
CIGNA
CT
01
—
61470493
UHC
CT
01
—
7059614
AETNA
CT
01
—
PENDING CLAIM
RR MEDICARE
CT
Enumeration date
01/17/2006
Last updated
07/15/2014
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