Healthcare Provider Details

I. General information

NPI: 1376507111
Provider Name (Legal Business Name): DAVID LIANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 FARMINGTON AVE
FARMINGTON CT
06030-8051
US

IV. Provider business mailing address

263 FARMINGTON AVE
FARMINGTON CT
06030-8051
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-3540
  • Fax: 860-679-6406
Mailing address:
  • Phone: 860-679-3540
  • Fax: 860-679-6406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number083977
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberL3731
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD426415
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: