Provider Demographics
NPI:1134356959
Name:LIU, YUEN-JONG (MD)
Entity type:Individual
Prefix:DR
First Name:YUEN-JONG
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 POST RD STE 200
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4731
Mailing Address - Country:US
Mailing Address - Phone:203-656-9999
Mailing Address - Fax:203-655-0099
Practice Address - Street 1:722 POST RD STE 200
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820
Practice Address - Country:US
Practice Address - Phone:203-656-9999
Practice Address - Fax:203-655-0099
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT60203208200000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery