Individual
KATHY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LONG WHARF DR STE 302, NEW HAVEN, CT 06511-5593
(203) 777-7500
Mailing address
1 LONG WHARF DR STE 302, NEW HAVEN, CT 06511-5593
(203) 777-7500
(203) 776-7741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4902
CT
Other
Enumeration date
04/30/2019
Last updated
12/03/2020
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