Individual
SONGTAO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD067940L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118954
UNISON HEALTH PLAN
—
05
—
0018250350001
—
PA
01
—
057499
HIGHMARK BLUE SHIELD
PA
01
—
1517940
GATEWAY HEALTH PLAN
—
01
—
217532
UPMC HEALTH PLAN
—
01
—
2196825000
INDEPENDENCE BLUE SHIELD
PA
01
—
3000937
AETNA
—
01
—
P00000603
RAILROAD MEDICARE
—
Enumeration date
09/22/2006
Last updated
07/18/2016
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