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Individual

MRS. TAO WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8063
(860) 679-3343
(860) 679-4256
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8063
(860) 679-3343
(860) 679-4256

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
8009
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8009
CT
Enumeration date
12/19/2018
Last updated
07/19/2022
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