Individual
DR. ELIZABETH DY ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
Mailing address
26 JEFFERSON CT, NEWINGTON, CT 06111-1922
(860) 666-6951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA42887
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA42887
LICENSE
NJ
Enumeration date
07/25/2006
Last updated
07/08/2007
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