Most Relevant Information
Provider Data
| NPI Number: | 1003475278 |
| Provider Name: | MILAGROS AREL WONG |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 8219 |
Most Important Dates
| Enumeration Date: | 06/11/2019 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
199 PARK ROAD EXT
MIDDLEBURY
CT
067621833
Practice Location Phone/Fax
| Phone: | 2034373111 |
| Fax: |
Provider Mailing Location
81 MAYFIELD RD
WATERBURY
CT
067083236
Provider Mailing Phone/Fax
| Phone: | 4752354697 |
| Fax: |