Individual
MR. PHILIP SIVA VITTOZZI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
290 HAIDA AVE, HASTINGS, PA 16646-5610
(814) 247-3100
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(862) 812-4198
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
305199
NY
207P00000X
Emergency Medicine Physician
Primary
MD471084
PA
Other
Enumeration date
03/29/2017
Last updated
12/30/2024
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