Individual
RASHADDA E WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 545-5000
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-5037
(860) 972-0549
(860) 545-5221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
027729
NY
363AM0700X
Medical Physician Assistant
Primary
004855
CT
363AM0700X
Medical Physician Assistant
027729
NY
Other
Enumeration date
06/02/2020
Last updated
11/21/2021
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