Individual
MELISSA MEI YIU WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
764 2ND ST, MANCHESTER, NH 03102-5210
(603) 669-3925
Mailing address
764 2ND ST, MANCHESTER, NH 03102-5210
(603) 669-3925
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
17540
NH
207W00000X
Ophthalmology Physician
Primary
MD2014-0194
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
365735YTQZ
MEDICARE PTAN
NM
05
—
47901811
—
NM
Enumeration date
08/13/2009
Last updated
07/08/2024
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