Individual
SHUE WONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 BOY ST, BRISTOL, CT 06010-8932
(860) 584-1440
Mailing address
120 BOY ST, BRISTOL, CT 06010-8932
(860) 584-1440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015766
CT
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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