Individual
CHUANYAO TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-8190
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-8190
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9901341
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
9901341
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255P
BCBS
—
05
—
2002880000
—
WV
01
—
36493
PARTNERS
—
01
—
50086560
RR MEDICARE
—
05
—
5700507
—
VA
01
—
7802732
AETNA
—
05
—
891255P
—
NC
01
—
97071
MEDCOST
—
05
—
Q01342
—
SC
Enumeration date
12/13/2005
Last updated
09/11/2017
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