# CONNECTICUT COASTAL METABOLISM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730702705
- **Authorized official:** SUSAN WANG MD (PRACTICE OWNER)
- **Authorized official phone:** (203) 701-6787

## Contact information

- **Practice address:** 2068 BRIDGEPORT AVE, MILFORD, CT 06460-4634
- **Practice address phone:** (203) 701-6787
- **Practice address fax:** (203) 693-2955
- **Mailing address:** 2068 BRIDGEPORT AVE, MILFORD, CT 06460-4634
- **Mailing address phone:** (203) 701-6787
- **Mailing address fax:** (203) 693-2955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2020
- **Last updated:** 05/25/2020