Individual
XI TENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 N ELM ST, WATERBURY, CT 06702-1545
(203) 574-4000
Mailing address
51 N ELM ST, WATERBURY, CT 06702-1545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64993
CT
Other
Enumeration date
06/12/2017
Last updated
07/13/2020
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