Individual
BRIAN S WONG WON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
399 FARMINGTON AVE STE 210, FARMINGTON, CT 06032-1944
(860) 548-7338
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-3955
(860) 679-3467
(860) 679-1460
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
81425
CT
208200000X
Plastic Surgery Physician
V0227
TX
Other
Enumeration date
04/18/2016
Last updated
06/24/2025
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