| Dr David Howland Wang, MD | |
|
275 Mount Carmel Ave, Hamden, CT 06518-1961 | |
| (203) 582-8742 | |
| (203) 582-8924 |
| Full Name | Dr David Howland Wang |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sports Medicine |
| Location | 275 Mount Carmel Ave, Hamden, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548243066 | NPI | - | NPPES |
| 467205400 | Medicaid | MN | |
| 34545100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 33841 (Minnesota) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 47308 (Connecticut) | Primary |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Entity Name | University Of Connecticut Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Howland Wang, MD 1290 Silas Deane Hwy, Hartford Healthcare-cvo, Wethersfield, CT 06109-4337 Ph: () - | Dr David Howland Wang, MD 275 Mount Carmel Ave, Hamden, CT 06518-1961 Ph: (203) 582-8742 |
Liza Goldman Huertas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 299 Washington Ave Ste Ll, Hamden, CT 06518 Phone: 203-288-4288 Fax: 855-414-1404 | |
Dr. Robert G. Hambly, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2340 Whitney Ave, Hamden, CT 06518 Phone: 203-248-8142 Fax: 203-248-7764 | |
Ms. Laurel Nicole Slongwhite, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Ave Ste 290, Hamden, CT 06518 Phone: 203-903-8308 Fax: 203-599-3927 | |
Dr. Gabriel Sraha, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2447 Whitney Ave Ste 202, Hamden, CT 06518 Phone: 203-288-8300 |