TAE KAE CHONG

LEBANON, IN
NPI1548255318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: IN  01039705A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IN  01039705A)
Enumeration Date2005-09-16
Last Update Date2023-10-10
Business Address
TAE KAE CHONG MD
2705 N LEBANON ST STE 315
LEBANON, IN 46052-8622
Phone number: 765-485-8855
Mailing Address
TAE KAE CHONG MD
2605 N LEBANON ST
LEBANON, IN 46052-1476
Phone number: