MEDICARE: PAULA WU FENG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	069765	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366974941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA WU FENG MD

Provider Business Mailing Address
First Line	:	2550 ALBANY AVE
Second Line	:	PMB 1159
City	:	WEST HARTFORD
State	:	CT
Zip	:	06117-2335
Country	:	US
Telephone Number	:	860-259-4603
Fax Number	:	206-480-0694

Provider Business Practice Location Address
First Line	:	1031 FARMINGTON AVE STE 101
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06032-1576
Country	:	US
Telephone Number	:	860-259-4603
Fax Number	:	206-480-0694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2017
Last Update Date	:	05/05/2026

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