Individual
CHUN WANG LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 WHITE PLAINS RD, SUITE 110, TRUMBULL, CT 06611-4552
(203) 459-4451
(203) 459-0362
Mailing address
888 WHITE PLAINS RD, SUITE 110, TRUMBULL, CT 06611-4552
(203) 459-4451
(203) 459-0362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
040235
CT
207RG0100X
Gastroenterology Physician
Primary
040235
CT
207RG0100X
Gastroenterology Physician
208229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001402354
—
CT
05
—
02317408
—
NY
Enumeration date
04/07/2006
Last updated
05/31/2013
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