Individual
ANNA DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
Mailing address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23.006944
CT
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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