Individual
JING TAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 CEDAR ST, TMP 3, NEW HAVEN, CT 06510-3206
(203) 785-2802
(203) 785-6664
Mailing address
333 CEDAR ST, TMP 3, P.O. BOX 208051, NEW HAVEN, CT 06510-3206
(203) 785-2802
(203) 785-6664
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
052901
CT
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
052901
CT
Other
Enumeration date
05/19/2009
Last updated
08/04/2014
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