Individual
MICHELLE TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 ALVORD PARK RD BLDG B, TORRINGTON, CT 06790-3493
(860) 496-0455
Mailing address
30 WATERCHASE DR, ROCKY HILL, CT 06067-2110
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
64811
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008094732
—
CT
Enumeration date
03/24/2014
Last updated
02/13/2021
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