Chung, David Yan

Chung, David Yan is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06032-1956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chung, David Yan can be contacted via phone (860) 679-2000.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06032-1956
Phone: (860) 679-2000
Fax: (860) 282-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 034454 Connecticut

Profile Details

NPI number 1629057468
LBN Legal business name Chung, David Yan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Apr 16th, 2021 - about 5 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 1629057468 NPPES
Connecticut MEDICAID 001344548

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