Individual
SOPHEAK TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
174 CENTER ST, WALLINGFORD, CT 06492-4146
(203) 793-7948
(203) 678-4156
Mailing address
174 CENTER ST, WALLINGFORD, CT 06492-4146
(203) 793-7948
(203) 678-4156
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1584
CT
Other
Enumeration date
03/09/2023
Last updated
04/26/2023
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