Individual
CHIN CHENG TAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 PETER RD STE 3, SOUTHBURY, CT 06488-2681
(860) 590-9592
Mailing address
58 OVERTON FARM RD, SOUTHBURY, CT 06488-2403
(917) 434-1674
(860) 413-0963
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
307846
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
9385
CT
Other
Enumeration date
07/18/2016
Last updated
08/27/2025
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