Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMANDA W PONG, MD
ActiveDR. AMANDA W PONG, MD is a Neurology with Special Qualifications in Child Neurology healthcare provider located in STAMFORD, Connecticut. NPI 1750583399 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · STAMFORD, CT
Registration Details
- NPI Number
- 1750583399
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2007 (19.238020126031 yrs)
- Last Updated
- Aug 15, 2008
- License
-
249659 (NY)
Practice Information
- Address
-
50 FOREST STAPT 1421STAMFORD, CT, 06901Browse CT providers · Browse ZIP 06901
- Phone
- 6193222577
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.