Individual
TIFFANY T CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 LONG WHARF DR STE 302, NEW HAVEN, CT 06511
(203) 777-7500
(203) 777-8469
Mailing address
1 LONG WHARF DR STE 302, NEW HAVEN, CT 06511-5593
(203) 777-7500
(203) 777-8469
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
60464
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60464
PHYSICIAN LICENSE
CT
Enumeration date
04/09/2013
Last updated
08/31/2018
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