Individual
DR. ALFONSO CIELO WONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 MARY ST, SUITE 2500, PITTSBURGH, PA 15203-2054
(412) 381-2599
(412) 488-5256
Mailing address
2 HOT METAL ST, QUANTUM ONE BUILDING, SUITE 001, PITTSBURGH, PA 15203-2348
(412) 647-3087
(412) 647-4486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD031838L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009514930009
—
PA
01
—
1528440
GATEWAY
PA
01
—
250072
UPMC
PA
05
—
2520678
—
OH
01
—
574252
HIGHMARK BCBS
PA
01
—
83808
UNISON
PA
Enumeration date
12/10/2005
Last updated
12/16/2015
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