Individual
TAE W CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, UNIVERSITY OF COLORADO HOSPITAL, AURORA, CO 80045
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
DR.0054794
CO
208200000X
Plastic Surgery Physician
N5627
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
DR.0054794
CO
Other
Enumeration date
05/21/2007
Last updated
11/17/2018
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