Individual
AMY CHENG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 E TOWN RD, MILFORD, CT 06460-3623
(203) 877-1912
Mailing address
254 PLYMOUTH ST, STRATFORD, CT 06614-4128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9773
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932131802
—
CT
Enumeration date
07/07/2018
Last updated
07/07/2018
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