Individual
DR. MICHAEL WANG KEONG FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSC, MBBS, FRACP
Contact information
Practice address
20 YORK STREET, YNHH TOMPKINS 226, NEW HAVEN, CT 06510-3220
(203) 688-9503
(203) 688-5599
Mailing address
20 YORK STREET, YNHH TOMPKINS 226, NEW HAVEN, CT 06510-3220
(203) 688-9503
(203) 688-5599
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
01/02/2019
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