Individual
DEREK WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
425 W 5TH ST, EAST LIVERPOOL, OH 43920-2405
(330) 385-7200
Mailing address
PO BOX 645409, PITTSBURGH, PA 15264-5252
(330) 386-6442
(330) 386-3660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.014422
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2016
Last updated
09/29/2021
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