Individual
JASON PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-2000
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207R00000X
MD
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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