Provider Demographics
NPI:1407056559
Name:HWANG, ANITA (MD)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:HWANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:914 HARTFORD TPKE
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-4263
Mailing Address - Country:US
Mailing Address - Phone:860-443-3250
Mailing Address - Fax:860-437-8362
Practice Address - Street 1:914 HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-4263
Practice Address - Country:US
Practice Address - Phone:860-443-3250
Practice Address - Fax:860-437-8362
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT049769207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology