Individual
THEERAYUT CHUMNANVECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 STEVENS STREET, SUITE H, NORWALK, CT 06850
(203) 299-1699
(203) 299-1579
Mailing address
30 STEVENS STREET, SUITE H, NORWALK, CT 06850
(203) 299-1699
(203) 299-1579
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
017469
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174697
—
CT
Enumeration date
12/26/2006
Last updated
07/08/2007
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