Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 046835 | CT |
NPI | 1073619490 |
---|---|
Provider Name | Anne C Chiang |
First Address | New Haven, CT 06510-3220 |
Second Address | New Haven, CT 06520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 31/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0044197 | CT CONTROLLED SUBSTANCE (01) | CT |
008002184 | (05) | CT |
046835 | CONNECTICARE (01) | |
046835 | CT LICENSE (01) | CT |
1073619490 | NPI (01) | |
1246972 | CIGNA (01) | |
7256864 | AETNA (01) | |
BC9700798 | DEA (01) | |
H63003 | (02) | |
P00743966 | RAILROAD MEDICARE PART B (01) |