Individual
LUISITO DINGCONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 TURNPIKE AVE, CLEARFIELD HOSPITAL, CLEARFIELD, PA 16830-3061
(814) 768-2137
(814) 765-2084
Mailing address
PO BOX 904, ST MARYS, PA 15857-0904
(814) 781-3624
(814) 837-2713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD052607L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014738630006
—
PA
Enumeration date
08/17/2005
Last updated
01/17/2014
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