Individual
DR. JERRY TSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 DEARFIELD DR, GREENWICH, CT 06831-5351
(203) 869-3082
(203) 869-6453
Mailing address
4 DEARFIELD DR, GREENWICH, CT 06831-5351
(203) 869-3082
(203) 869-6453
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
046608
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046608
LICENSE
CT
01
—
046608
CONNECTICARE
—
01
—
243110
MEDICAL LICENSE
NY
01
—
25MA08270400
MEDICAL LICENSE
NJ
01
—
3V2537
HEALTHNET
—
01
—
663340
AETNA
—
01
—
A95703
LICENSE
CA
Enumeration date
07/04/2006
Last updated
07/02/2010
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