Wong, Jennifer Lee

Wong, Jennifer Lee is an sole proprietor health care provider with primary practice located at 800 Howard Ave , New Haven CT 06519-1369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Wong, Jennifer Lee can be contacted via phone (203) 785-3091.

Contact Information

Primary practice address
800 Howard Ave New Haven CT 06519-1369
Phone: (203) 785-3091
Fax: (203) 785-6885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 254271 New York
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 54528 Connecticut

Profile Details

NPI number 1346474202
LBN Legal business name Wong, Jennifer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2009
Last updated Jan 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346474202 NPPES
New York MEDICAID 03460964

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