Sun King Wan MD

NPI 1043290281 - Internal Medicine - 207RC0000X

NPI Details
NPI 1043290281
Gender Male
Enumeration Date 01/21/2006
Last Updated 08/02/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
257 E CENTER ST
MANCHESTER CT, 06040-5214, US
Phone (860) 643-5101
Fax (860) 533-9747
Business Location
90 ELLINGTON AVE
ELLINGTON CT, 06029-4321, US
Phone (860) 872-2861
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Connecticut
License Number 029859
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According to our database, Dr. Sun King Wan MD NPI is 1043290281, taxonomy code is 207RC0000X and license number is 029859, license state is located at Connecticut. Sun King Wan MD physically located at 257 E Center St, Manchester CT, 06040-5214. NPI Number Sun King Wan MD has the Individual type.

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1043290281 NPI number is provided on an as is basis without warranty of any kind. 1043290281 is maintained by the National Plan & Provider Enumeration System. The contents of Sun King Wan MD are for informational purposes only.