Provider Demographics
NPI:1841679503
Name:CHENG, RUI (MD)
Entity type:Individual
Prefix:
First Name:RUI
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 WILLOWBROOK RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-1745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:860-322-6838
Practice Address - Street 1:1 WILLOWBROOK RD STE 2
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-1745
Practice Address - Country:US
Practice Address - Phone:860-322-2222
Practice Address - Fax:860-322-6838
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT62449207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology