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Individual

DR. JIA RONG CHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
333 CEDAR STREET, NEW HAVEN, CT 06520
(203) 785-5253
(203) 737-1688
Mailing address
360 STATE ST #2005, NEW HAVEN, CT 06510
(779) 206-6678
(203) 737-1688

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
54335
CT
2085R0202X
Diagnostic Radiology Physician
54335
CT

Other

Enumeration date
07/17/2015
Last updated
07/17/2015
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