Mary Wing Sum Tam, MD
Ophthalmology in Danbury, CT. Individual provider (NPI-1).
NPI number1053802454
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1053802454
- Entity type
- Individual (NPI-1)
- Name
- Mary Wing Sum Tam
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2018
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 80895 | CT | Yes |
| 207W00000X | Ophthalmology | T6053 | TX | |
| 207W00000X | Ophthalmology | ME163116 | FL | |
| 207R00000X | Internal Medicine | 275696 | MA | |
| 207W00000X | Ophthalmology | 960492 | NY |
Practice location
57 North St Ste 415Danbury, CT 06810-5629
Phone 203-628-4995
Mailing address
57 North St Ste 415Danbury, CT 06810-5629
Fax 203-628-4995
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