Dr. Brian Wong, M.D.
Psychiatry & Neurology, Neurology in Hartford, CT. Individual provider (NPI-1).
NPI number1336588482
StatusActive
Last updated in NPPESJun 29, 2018
Details
- NPI
- 1336588482
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Wong
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2013
- Last updated
- Jun 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | LP03175 | RI | Yes |
Practice location
80 Seymour StHartford, CT 06102
Phone 605-522-4429
Mailing address
80 Seymour StHartford, CT 06102-8000
Fax 401-444-6858
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