Healthcare Provider Details

I. General information

NPI: 1407338882
Provider Name (Legal Business Name): LIMING ZENG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2018
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 LAFAYETTE ST
NEW BRITAIN CT
06051-1803
US

IV. Provider business mailing address

41 BREWSTER RD
BRISTOL CT
06010-5161
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-3642
  • Fax:
Mailing address:
  • Phone: 860-585-3313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7775
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number7775
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: