Ivan Wong O.D.

NPI 1023170073 - Optometrist - 152WC0802X

NPI Details
NPI 1023170073
Gender Male
Enumeration Date 12/15/2006
Last Updated 10/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7 BACKUS AVE STE 250
DANBURY CT, 06810-7493, US
Phone (203) 743-9897
Fax (203) 743-6419
Business Location
7 BACKUS AVE STE 250
DANBURY CT, 06810-7493, US
Phone (203) 743-9897
Fax (203) 743-6419
Toxanomy
Taxonomy Code 152WC0802X
License State Connecticut
License Number CT002529
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According to our database, Dr. Ivan Wong O.D. NPI is 1023170073, taxonomy code is 152WC0802X and license number is CT002529, license state is located at Connecticut. Ivan Wong O.D. physically located at 7 Backus Ave Ste 250, Danbury CT, 06810-7493. NPI Number Ivan Wong O.D. has the Individual type.

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1023170073 NPI number is provided on an as is basis without warranty of any kind. 1023170073 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Wong O.D. are for informational purposes only.