Individual
LOUIS WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SOUTH MAIN STREET, SUITE 102, MIDDLETOWN, CT 06457-3648
(860) 344-1401
(860) 347-1023
Mailing address
80 SOUTH MAIN STREET, SUITE 102, MIDDLETOWN, CT 06457-3648
(860) 344-1401
(860) 347-1023
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
023241
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010023241CT02
ATHEM BCBS
—
01
—
077909
CONNECTICARE
—
01
—
0V0117
HEALTH NET
—
01
—
2119762
AETNA
—
01
—
6218842006
CIGNA
—
01
—
P3133385
OXFORD
—
Enumeration date
09/28/2006
Last updated
12/22/2009
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