Individual
WANDA PONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3131
Mailing address
349 PROVIDENCE DR, WEXFORD, PA 15090-7441
(412) 716-3656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD427560
PA
207R00000X
Internal Medicine Physician
MD427560
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014959610001
—
PA
05
—
2620319
—
OH
Enumeration date
04/25/2006
Last updated
01/24/2024
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