Individual
JEAN F. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 LEWIS AVE, SUITE 210, MERIDEN, CT 06451-2121
(203) 238-1241
(203) 686-0791
Mailing address
455 LEWIS AVE, SUITE 210, MERIDEN, CT 06451-2121
(203) 238-1241
(203) 686-0791
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
048139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048139
CONNECTICARE
CT
01
—
06-1406459
UNITED HEALTHCARE
CT
01
—
1891988648
AETNA
CT
05
—
1891988648
—
CT
01
—
3V6324
HEALTH NET
CT
01
—
57294
WELLCARE
CT
01
—
9048959
CIGNA
CT
01
—
P4179178
OXFORD
CT
Enumeration date
08/24/2007
Last updated
03/23/2011
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