Rashadda E Wong, PA-C
Physician Assistant, Medical in Hartford, CT. Individual provider (NPI-1).
NPI number1962026229
StatusActive
Last updated in NPPESNov 21, 2021
Details
- NPI
- 1962026229
- Entity type
- Individual (NPI-1)
- Name
- Rashadda E Wong
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2020
- Certification date
- Nov 21, 2021
- Last updated
- Nov 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 004855 | CT | Yes |
| 363A00000X | Physician Assistant | 027729 | NY | |
| 363AM0700X | Physician Assistant, Medical | 027729 | NY |
Practice location
80 Seymour StHartford, CT 06106-3315
Phone 860-545-5000
Mailing address
80 Seymour StHartford, CT 06102-5037
Phone 860-972-0549 · Fax 860-545-5221
Other practice locations
525 E 68th St # 325
New York, NY 10065-4870
New York, NY 10065-4870
Phone 212-746-7576 · Fax 212-746-8383
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