John Michael Sycip Chua Chiaco M.D.

NPI 1629234406 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1629234406
Gender Male
Enumeration Date 07/31/2008
Last Updated 09/02/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
130 NEW LONDON TPKE
NORWICH CT, 06360-2624, US
Phone (860) 889-4600
Fax (860) 889-5200
Business Location
19 SPENCER ST
APARTMENT 309
LEBANON NH, 03766-1380, US
Phone (808) 721-6172
Fax
Toxanomy
Taxonomy Code 390200000X
License State Michigan
License Number 4301092000
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According to our database, Dr. John Michael Sycip Chua Chiaco M.D. NPI is 1629234406, taxonomy code is 390200000X and license number is 4301092000, license state is located at Michigan. John Michael Sycip Chua Chiaco M.D. physically located at 130 New London Tpke, Norwich CT, 06360-2624. NPI Number John Michael Sycip Chua Chiaco M.D. has the Individual type.

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1629234406 NPI number is provided on an as is basis without warranty of any kind. 1629234406 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Sycip Chua Chiaco M.D. are for informational purposes only.