Individual
MAIJA CHEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 CEDAR STREET, YALE SURGERY DEPT AT YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06520-8062
(203) 785-7890
Mailing address
40 TEMPLE ST, NEW HAVEN, CT 06510-2715
(203) 785-6060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
65609
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65609
—
CT
Enumeration date
04/09/2014
Last updated
07/27/2020
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