Individual
TONG LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(516) 562-6000
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67060
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
01/14/2021
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