Provider Demographics
NPI:1104931161
Name:NORSANG, CHHEWANG (MD)
Entity type:Individual
Prefix:
First Name:CHHEWANG
Middle Name:
Last Name:NORSANG
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 1:77 VICTORIA ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-2218
Mailing Address - Country:US
Mailing Address - Phone:413-536-5111
Mailing Address - Fax:
Practice Address - Street 1:PROVIDENCE BEHAVIORAL HEALTH HOSPITAL
Practice Address - Street 2:1233 MAIN STREET
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-536-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2296992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry