Individual
MEYKIW COMAS-FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 YORK ST, NEW HAVEN, CT 06511-5619
(203) 752-9893
Mailing address
400 BLAKE ST, APT 2103, NEW HAVEN, CT 06515-4410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011523
CT
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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