Individual
DR. ALFONSO CIELO WONG JR.
Active
Individual
DR. ALFONSO CIELO WONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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