Individual
MS. HOO- CHING (JUDY) WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, PA-C
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000746
CT
363AS0400X
Surgical Physician Assistant
Primary
002499
CT
Other
Enumeration date
09/28/2007
Last updated
06/22/2021
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