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Individual

SHI JEN CHENG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 MAIN ST, EAST HAVEN, CT 06512-2904
(203) 469-8882
(203) 467-9973
Mailing address
300 MAIN ST, EAST HAVEN, CT 06512-2904
(203) 469-8882
(203) 467-9973

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036005
CT

Other

Enumeration date
10/14/2005
Last updated
07/08/2007
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