Individual
ELLICE YUEN-MING WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 CAMPBELL AVE, 111D, WEST HAVEN, CT 06516-2770
(203) 937-3421
(203) 937-3803
Mailing address
950 CAMPBELL AVE, 111D, WEST HAVEN, CT 06516-2770
(203) 937-3421
(203) 937-3803
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
045922
CT
Other
Enumeration date
08/21/2007
Last updated
08/21/2012
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