Individual
ANNIE ROSE PANELA ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 SCOVILL ST, WATERBURY, CT 06706-1127
(203) 709-6000
Mailing address
4 KENTWOOD CT, MIDDLEBURY, CT 06762-3338
(347) 809-1916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
67649
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2018
Last updated
04/21/2021
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