SearchConnecticut183500000X

Phong Kieu

NPI 1861923336 · on the registry since 2017 · sole proprietor

Practice

Address
2286 Berlin Tpke
Newington, CT 06111
Phone
(860) 343-5220
Fax
(860) 343-5230
Organisation at this address
Nostrumrx Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 40 East St, New Milford, CT
  • 215 West St, Seymour, CT

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut