Healthcare Provider Details

I. General information

NPI: 1073619490
Provider Name (Legal Business Name): ANNE C CHIANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 YORK STREET, NP15-304 YALE UNIVERSITY SCHOOL OF MEDICINE
NEW HAVEN CT
06520
US

IV. Provider business mailing address

20 YORK ST NP15-304
NEW HAVEN CT
06510-3220
US

V. Phone/Fax

Practice location:
  • Phone: 203-200-5864
  • Fax:
Mailing address:
  • Phone: 203-200-1689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number046835
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: