Organization
LUISITO S DINGCONG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUISITO S. DINGCONG MD (MD)
(814) 834-9670
Entity
Organization
Contact information
Practice address
1033 TURNPIKE AVE, CLEARFIELD, PA 16830-3061
(814) 765-2137
(814) 768-2084
Mailing address
PO BOX 904, SAINT MARYS, PA 15857-0904
(814) 834-9670
(814) 834-1855
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD052607L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014738630006
—
PA
01
—
100298
BLUE SHIELD
PA
Enumeration date
04/11/2007
Last updated
01/28/2014
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