Tae W Chong, MD
Surgery, Plastic and Reconstructive Surgery in Aurora, CO. Individual provider (NPI-1).
NPI number1396954186
StatusActive
Last updated in NPPESNov 17, 2018
Details
- NPI
- 1396954186
- Entity type
- Individual (NPI-1)
- Name
- Tae W Chong
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2007
- Last updated
- Nov 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | DR.0054794 | CO | Yes |
| 208200000X | Plastic Surgery | N5627 | TX | |
| 208200000X | Plastic Surgery | DR.0054794 | CO |
Practice location
12605 E 16th AveUniversity Of Colorado Hospital
Aurora, CO 80045
Phone 720-848-0000
Mailing address
Po Box 110429Aurora, CO 80042-0429
Phone 303-493-7000
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