# MARY WING SUM TAM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053802454
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 275696 | MA | — |
| 207W00000X | Ophthalmology Physician | 80895 | CT | Yes |
| 207W00000X | Ophthalmology Physician | 960492 | NY | — |
| 207W00000X | Ophthalmology Physician | ME163116 | FL | — |
| 207W00000X | Ophthalmology Physician | T6053 | TX | — |

## Other

- **Enumeration date:** 05/22/2018
- **Last updated:** 07/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1053802454 | — | CT |
| 05 | — | 119673400 | — | FL |