Provider Demographics
NPI:1912994666
Name:WONG, JAMES J Y (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J Y
Last Name:WONG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:C/O CONNECTICUT GLAUCOMA ASSOCIATES
Mailing Address - Street 2:111 EAST AVENUE, SUITE 335
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06881
Mailing Address - Country:US
Mailing Address - Phone:203-856-7142
Mailing Address - Fax:203-226-3324
Practice Address - Street 1:C/O CONNECTICUT GLAUCOMA ASSOCIATES
Practice Address - Street 2:111 EAST AVENUE, SUITE 335
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851
Practice Address - Country:US
Practice Address - Phone:203-856-7142
Practice Address - Fax:203-226-3324
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2021-02-12
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Provider Licenses
StateLicense IDTaxonomies
CT22785207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB39057Medicare UPIN