Individual
JASON SEAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 HOSPITAL PLZ STE 602, STAMFORD, CT 06902-3602
(203) 276-4464
(203) 276-4468
Mailing address
29 HOSPITAL PLZ STE 602, STAMFORD, CT 06902-3602
(203) 276-4464
(203) 276-4468
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
60283
CT
2084N0400X
Neurology Physician
Primary
60283
CT
Other
Enumeration date
07/22/2009
Last updated
03/07/2022
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