Organization
CONNECTICUT COASTAL METABOLISM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WANG MD (PRACTICE OWNER)
(203) 701-6787
Entity
Organization
Contact information
Practice address
2068 BRIDGEPORT AVE, MILFORD, CT 06460-4634
(203) 701-6787
(203) 693-2955
Mailing address
2068 BRIDGEPORT AVE, MILFORD, CT 06460-4634
(203) 701-6787
(203) 693-2955
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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