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Organization
PT FAMILY MEDICINE PC
Active
Organization
PT FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M WONG MD (OWNER)
(724) 527-2700
Entity
Organization
Contact information
Practice address
2057 STATE ROUTE 130, JEANNETTE, PA 15644-3801
(724) 527-2700
(724) 527-2705
Mailing address
2057 STATE ROUTE 130, JEANNETTE, PA 15644-3801
(724) 527-2700
(724) 527-2705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
01/05/2019
Last updated
02/09/2023
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