Tsai, Jung T

Tsai, Jung T is an individual health care provider with primary practice located at 15 S Elm St , Wallingford CT 06492-4741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tsai, Jung T can be contacted via phone (203) 265-4562.

Contact Information

Primary practice address
15 S Elm St Wallingford CT 06492-4741
Fax: (203) 265-5835
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 020739 Connecticut

Profile Details

NPI number 1629074349
LBN Legal business name Tsai, Jung T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629074349 NPPES
Connecticut Other 0R0099 HEALTHNET

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