Individual
DR. MICHAEL S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
232 BOSTON POST RD, UNIT 11, MILFORD, CT 06460-3158
(203) 876-2179
(203) 876-2369
Mailing address
232 BOSTON POST RD, UNIT 11, MILFORD, CT 06460-3158
(203) 876-2179
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
037255
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010037255CT05
ANTHEM BLUE CROSS BLUE SH
CT
01
—
7040792748
CONNECTICARE
CT
01
—
P3201029
OXFORD
CT
Enumeration date
12/16/2005
Last updated
09/22/2011
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