Individual
DR. WEITAO LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NORTHEAST MEDICAL GROUP, INC., 20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
NORTHEAST MEDICAL GROUP, INC., 20 YORK STREET, CB-329, NEW HAVEN, CT 06510-3220
(036) 884-7482
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
285490
MA
207R00000X
Internal Medicine Physician
Primary
75733
CT
Other
Enumeration date
12/11/2020
Last updated
08/31/2023
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